Grinville Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRINVILLE DENTISTRY LLC

Doing business as

Swamp Rabbit Dental

Practice address

114 Laurens Rd Ste a
Greenville, SC 29607-1826

Phone

(864) 336-8478

NPI assigned

Nov 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Parks Burton Alexander, DMDNPI 1851374128

Title

Owner

Phone

(864) 901-6617

Specialties & licenses 1

Addresses

Other names 1

• Swamp Rabbit Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parks Burton Alexander, DMD

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1851374128
  NPD Authorized official

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604620800000",
    "number": "1790386613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 LAURENS RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071826",
            "telephone_number": "864-336-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 LAURENS RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071826",
            "telephone_number": "864-336-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINVILLE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PARKS",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-901-6617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swamp Rabbit Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin Ann Grimm, NP-C
• Elizabeth Collins Grindle, COTA/L
• Melissa Ruth Grinnell, PA-C
• Aubrey R Grinstead, LPCA
• Rhett Grinstead, MD
• Paula Grisales
• Ronald James Grisanti, D.C.
• David Lawrence Grisell, DO
• Matthew Paul Grisham, MD
• William Grissom, ATC

• Dental Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.