Dental Innovations LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL INNOVATIONS LLC

Practice address

105 Halton Village Cir Ste B
Greenville, SC 29607-6832

Phone

(864) 640-8987

Fax

(855) 852-3884

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Samantha Reini Marcello, RDH

Title

Owner

Phone

(864) 640-8987

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1790192870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GRAND RIVER LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814583",
            "telephone_number": "864-640-8987",
            "fax_number": "855-852-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HALTON VILLAGE CIR STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076832",
            "telephone_number": "864-640-8987",
            "fax_number": "855-852-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "MARCELLO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "REINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-640-8987",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline L Dennis, LPC LMFT LMSW
• Hugh M Dennis, M.D.
• William Andrews Dennis, MD
• Danielle Denniston
• Dental Anesthesia Associates of Greenville, LLC
• Dental Professionals of South Carolina, P.C. (Ashby Park Restorative and Cosmetic Dentistry PA)
• Dental Professionals of South Carolina, P.C. (Arden Woods Dental Care)
• Dentalworks of Greenville SC, P.C. (DentalWorks)
• Dentist in Greenville LLC
• Dentistry at Pelham Pointe

• 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 Aug 15, 2014; 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.