Bhavna T Pahel, DDS, PHD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1009 Issued in SC

Practice address

810 E Main St Ste G
Laurens, SC 29360-3547

Phone

(864) 715-3200

Fax

(864) 715-3201

NPI assigned

Jul 1, 2014

Last updated

Nov 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Genesis Smiles, LLC

  dba Genesis Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Laurens, SC
  • NPI 1154012722
  NPD Authorized official
• Valleygate Anesthesia

  • Pediatric Anesthesiology Physician
  • Fayetteville, NC
  • NPI 1093215147
  NPD (past)
• Valleygate Dental Surgery Center of the West LLC

  dba Valleygate Dental Surgery Center of The Triad

  • Ambulatory Surgical Clinic/Center
  • Greensboro, NC
  • NPI 1194230573

  Pediatric Dentistry

  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1629483425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E MAIN ST STE G",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293603547",
            "telephone_number": "864-715-3200",
            "fax_number": "864-715-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E MAIN ST STE G",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293603547",
            "telephone_number": "864-715-3200",
            "fax_number": "864-715-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAHEL",
        "first_name": "BHAVNA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9404",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9806",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Nicholson, M.S., CF-SLP
• Kyle Ryck Nield, DDS
• Novacare, LLC
• Jordan Brown Oates
• Robbie Howard Owens, COTA/L
• Palmetto Health (Pastoral Counseling Center of Chestnut Ridge)
• Palmetto Health Alliance (The Pastoral Counseling Center of Laurens)
• Howard Byron Parker Jr., M.D.
• Deborah Ann Parsons, CCC-SLP
• Peter M Partee, MD

• Pediatric Dentistry in Laurens, SC
• Providers in Laurens, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.