Holly Tree Family Dental

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3427 Issued in SC

Legal business name

HOLLY TREE FAMILY DENTAL

Practice address

1673 E Main St
Easley, SC 29640-3791

Phone

(864) 442-6770

Fax

(864) 442-6830

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Ann M Bynum, DDSNPI 1982715314

Title

Vice President

Phone

(864) 442-6770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holly Tree Pediatric Dentistry Doing business as

Tax ID family

Holly Tree Family Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holly Tree Family Dental, PA

  • General Practice Dentistry
  • Simpsonville, SC
  • NPI 1245994342
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Holly Tree Family Dental, PA

  • General Practice Dentistry
  • Simpsonville, SC
  • NPI 1245994342
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ann Marie Bynum, DDS

  • Pediatric Dentistry
  • Simpsonville, SC
  • NPI 1982715314
  NPD Authorized official

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1194181297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 E MAIN ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403791",
            "telephone_number": "864-442-6770",
            "fax_number": "864-442-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 E MAIN ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403791",
            "telephone_number": "864-442-6770",
            "fax_number": "864-442-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY TREE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "864-442-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "3427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9157",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Tree Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Page Holcombe
• Tammi Hunter Holden, COTA/L
• Christina Lynn Holliday, PMHNP
• Craig Edward Holliday, DMD
• Samantha Lake Hollis, DO
• Charlotte C Holman, M.AUD.
• Peter C Holsen, DDS
• Geanice Holton, MD
• Linda Miller Hopson, MSW
• Laurie Wilder Horne

• Pediatric Dentistry in Easley, SC
• Providers in Easley, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.