Gentle Dental Care of Greenville

Primary specialty

DentistTaxonomy code 122300000X

License

3241 Issued in SC

Legal business name

GENTLE DENTAL CARE OF GREENVILLE

Practice address

2400 N Pleasantburg Dr
Suite E
Greenville, SC 29609-2706

Phone

(864) 235-4848

Fax

(864) 331-8619

NPI assigned

Jan 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Lamont Williams, DMD

Title

President

Phone

(864) 235-4848

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043361512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N PLEASANTBURG DR",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092706",
            "telephone_number": "864-235-4848",
            "fax_number": "864-331-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N PLEASANTBURG DR",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092706",
            "telephone_number": "864-235-4848",
            "fax_number": "864-331-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTAL CARE OF GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-235-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Greenville, SC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.