Greenville SC Emergency Dental Care USA LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GREENVILLE SC EMERGENCY DENTAL CARE USA LLC

Doing business as

Emergency Dental Care USA

Practice address

425 N Main St Ste E
Simpsonville, SC 29681-2062

Phone

(402) 658-4687

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Michael Obeng, DDS

Title

Owner

Phone

(402) 981-4136

Specialties & licenses 1

Addresses

Other names 1

• Emergency Dental Care USA Doing business as

Locations

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1205671419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1740",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680051740",
            "telephone_number": "402-658-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N MAIN ST STE E",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812062",
            "telephone_number": "402-658-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE SC EMERGENCY DENTAL CARE USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-981-4136",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental Care USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dion Greer
• Laura G. Greer, RPH.
• Asha N Griffin, LPC
• Lauren Nicole Griffin, NP

• Dentist in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.