Active NPI
Richard Anthony Constantine, D.D.S.
- General Practice Dentistry
- Fountain Inn, SC
National Provider Identifier
1386870657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4587
- Practice address
- 304 Milacron Dr
Fountain Inn, SC 29644 - Phone
- (864) 387-9748
- NPI assigned
- Jun 1, 2009
- Sex
- Male
- Sole proprietor
- No
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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4587 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evelina Smiles LLC | General Practice | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4587 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
304 Milacron Dr
Fountain Inn, SC 29644
Mailing address
207 Shallons Dr
Greenville, SC 29609-0982
Phone (864) 387-9748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2025.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1386870657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 SHALLONS DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296090982",
"telephone_number": "864-387-9748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 MILACRON DR",
"city": "FOUNTAIN INN",
"state": "SC",
"postal_code": "29644",
"telephone_number": "864-387-9748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTANTINE",
"first_name": "RICHARD",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-01",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Inn, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.