Bella Vista Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4377 Issued in SC

Legal business name

BELLA VISTA DENTAL, LLC

Practice address

2498 N Pleasantburg Dr
Suite C
Greenville, SC 29609-2730

Phone

(864) 386-2753

NPI assigned

Feb 21, 2015

Last updated

Feb 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Alexander Kennedy Jr., DMD

Title

President

Phone

(864) 386-2753

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424476800000",
    "number": "1659763167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31625",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296081625",
            "telephone_number": "864-386-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 N PLEASANTBURG DR",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092730",
            "telephone_number": "864-386-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-21",
        "last_updated": "2015-02-21",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-386-2753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Bell, DNP, APRN, CPNP-PC
• Essene C Bell, M.D.
• Gabriela Bell
• Janet Rhue Bell, LPC-A
• Katherine Marlow Bell, D.M.D.
• Melinda Irene Bellamy, RN
• Bellanne Family Home Care LLC
• Lawrence Joseph Belle, LISW-CP
• Shawna Diann Bellew, MD
• James Allan Belling, CRNA

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, 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 Feb 21, 2015; 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.