Organization Active NPI

Palmetto Family Dentistry, PA

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1407066533
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
SC3400 Issued in SC
Legal business name
PALMETTO FAMILY DENTISTRY, PA
Practice address
870 Cleveland St
Suite 1-a
Greenville, SC 29601-4427
Phone
(864) 233-0427
Fax
(864) 271-2295
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Benjamin Stanford Adams, DMDNPI 1427268556
Title
Dentist
Phone
(864) 233-0427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X SC3400 SC Primary

Addresses

Primary practice location

870 Cleveland St
Suite 1-a
Greenville, SC 29601-4427

Mailing address

870 Cleveland St
Suite 1-a
Greenville, SC 29601-4427
Phone (864) 233-0427

National Provider Directory

National Provider Directory

Locations

870 Cleveland St
Ste 1A
Greenville, SC 29601
Phone (864) 233-0427

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407066533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST",
            "address_2": "SUITE 1-A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014427",
            "telephone_number": "864-233-0427",
            "fax_number": "864-271-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST",
            "address_2": "SUITE 1-A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014427",
            "telephone_number": "864-233-0427",
            "fax_number": "864-271-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "STANFORD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-233-0427",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC3400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.