Berea Comprehensive Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

4217 Issued in SC

Legal business name

BEREA COMPREHENSIVE DENTISTRY

Practice address

1906 Cedar Lane Rd
Greenville, SC 29617-1733

Phone

(864) 246-1811

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. J. Wesley Harden, D.M.D.

Title

Dentist

Phone

(864) 246-1811

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720127442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 CEDAR LANE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171733",
            "telephone_number": "864-246-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 CEDAR LANE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171733",
            "telephone_number": "864-246-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREA COMPREHENSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-246-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "4217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Benson
• Amanda Joy Bentley, NP
• Caleigh Bentley, LMSW
• Canisha Monai Benton, P.A
• Berea Community Healthcare, LLC
• Berea Comprehensive Dentistry
• Berea Dental Care LLC
• Berea Eye Care LLC
• Amber Berean
• Khabonina Joy Beresford, LMSW

• Dentist in Greenville, SC
• Providers in Greenville, SC by specialty
• Dentist in South Carolina

• 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.