Greenville Ortho LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

GREENVILLE ORTHO LLC

Practice address

105 State Park Rd
Greenville, SC 29609-2914

Phone

(864) 586-1202

Fax

(864) 271-8951

NPI assigned

Jul 6, 2026

Last updated

Jul 6, 2026By 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

Jenni Tomlinson

Title

Credentialing and Enrollment

Phone

(470) 552-1823

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1093632481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STATE PARK RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092914",
            "telephone_number": "864-586-1202",
            "fax_number": "864-271-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STATE PARK RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092914",
            "telephone_number": "864-586-1202",
            "fax_number": "864-271-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE ORTHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "CREDENTIALING AND ENROLLMENT",
        "authorized_official_telephone_number": "470-552-1823"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenville Natural Health, Inc.
• Greenville Neck & Back, Inc.
• Greenville Neurology Consultants, PA
• Greenville Occupational Therapy LLC
• Greenville Oral Maxillofacial Surgery, P.a., a South Carolina Professi (Greenville Oral Surgery Partners)
• Greenville Orthotics and Prosthetics, LLC
• Greenville Pediatric Dentistry PA
• Greenville Physcians Imaging Center
• Greenville Plastic Surgery
• Greenville Podiatry Associates PA

• Orthodontics and Dentofacial Orthopedics Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.