Active NPI
Emerson Overstreet
- Dentist
- Simpsonville, SC
National Provider Identifier
1861700205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN8639
- Practice address
- 2800 Woodruff Rd
Simpsonville, SC 29681-4806 - Phone
- (864) 963-7000
- NPI assigned
- Sep 20, 2010
- Last updated
- Jan 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN8639 | SC | Primary |
Addresses
Primary practice location
2800 Woodruff Rd
Simpsonville, SC 29681-4806
Mailing address
PO Box 3189
Syracuse, NY 13220-3189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN8639 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Smile Group II LLC | Past | Accepting new patients | |
| Dental Professional of South Carolina, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gilder Creek Dental Care
- General Practice Dentistry
- Simpsonville, SC
- NPI 1972073831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1861700205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3189",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132203189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 WOODRUFF RD",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296814806",
"telephone_number": "864-963-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERSTREET",
"first_name": "EMERSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-20",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DEN8639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.