Organization Active NPI

Greenville Endodontics

  • Dental Clinic/Center
  • Greenville, SC
National Provider Identifier
1750504783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2154 Issued in SC
Legal business name
GREENVILLE ENDODONTICS
Practice address
870 Cleveland St
Suite 2-B
Greenville, SC 29601-4427
Phone
(864) 233-4874
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Harrg George Bobotis, DMD
Title
President
Phone
(864) 233-4874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2154 SC Primary

Addresses

Primary practice location

870 Cleveland St
Suite 2-B
Greenville, SC 29601-4427

Mailing address

870 Cleveland St
Suite 2-B
Greenville, SC 29601-4427
Phone (864) 233-4874

National Provider Directory

National Provider Directory

Locations

870 Cleveland St
Ste 2B
Greenville, SC 29601
Phone (864) 233-4874

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750504783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST",
            "address_2": "SUITE 2-B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014427",
            "telephone_number": "864-233-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST",
            "address_2": "SUITE 2-B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014427",
            "telephone_number": "864-233-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOBOTIS",
        "authorized_official_first_name": "HARRG",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-233-4874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "2154",
            "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.