Rick & Pamela Dhillon DMD - Sda LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RICK & PAMELA DHILLON DMD - SDA LLC

Practice address

3115A Brushy Creek Rd
Greer, SC 29650-0903

Phone

(864) 877-3631

NPI assigned

Oct 5, 2020

Organization subpart

No

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

Authorized official

Name

Jenni Tomlinson

Title

Credentialing Specialist

Phone

(678) 986-7116

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1447857289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115A BRUSHY CREEK RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500903",
            "telephone_number": "864-877-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115A BRUSHY CREEK RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296500903",
            "telephone_number": "864-877-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK & PAMELA DHILLON DMD - SDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "678-986-7116"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Richards, PA-C
• Clara Richards
• April Carpenter Richardson, M.D.
• Emilea Richardson, LMFT
• Laura Richardson
• Rick S. and Pamela B. Dhillon, DMD, LLC
• Anna Rickle
• Benjamin Rivers Ridgeway
• Cassidy A Ringer, MS BCBA
• Jose Samuel Rivera, DC

• General Practice Dentistry in Greer, SC
• Providers in Greer, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.