Progrin Dental of Greer, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PROGRIN DENTAL OF GREER, LLC

Practice address

1275 S Suber Rd
Greer, SC 29650-0940

Phone

(864) 877-2541

NPI assigned

Oct 3, 2017

Last updated

Oct 3, 2017By 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

Brent Ayers

Title

Manager

Phone

(864) 561-7559

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron Henley

  • Dentist
  • Boiling Springs, SC
  • NPI 1508387358
  NPD
• James Keith Bagwell, D.M.D.

  • General Practice Dentistry
  • Greer, SC
  • NPI 1356542583
  NPD (past)

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1235649302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OLD BOILING SPRINGS RD STE A",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504257",
            "telephone_number": "864-761-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 S SUBER RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500940",
            "telephone_number": "864-877-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRIN DENTAL OF GREER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "864-561-7559"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Greer, SC
• Providers in Greer, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.