Individual provider Active NPI

Pamela B Dhillon, DMD

  • General Practice Dentistry
  • Greer, SC
National Provider Identifier
1275740193
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3470 Issued in SC
Practice address
3115 A Brushy Creek Road
Greer, SC 29651
Phone
(864) 877-3631
Fax
(864) 877-2545
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3470 SC Primary

Addresses

Primary practice location

3115 A Brushy Creek Road
Greer, SC 29651

Mailing address

3115 A Brushy Creek Road
Greer, SC 29651
Phone (864) 877-3631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609001820 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7618267261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3470SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rick S. and Pamela B. Dhillon, DMD, LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275740193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 A BRUSHY CREEK ROAD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29651",
            "telephone_number": "864-877-3631",
            "fax_number": "864-877-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 A BRUSHY CREEK ROAD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29651",
            "telephone_number": "864-877-3631",
            "fax_number": "864-877-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "PAMELA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.