Tylan Creek Family Dentistry Greenwood

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2867 Issued in SC

Legal business name

TYLAN CREEK FAMILY DENTISTRY GREENWOOD

Practice address

3710 Highway 221- 72E
Greenwood, SC 29649

Phone

(864) 630-9103

Fax

(864) 603-2201

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Darryl Lea Halbert, DMDNPI 1982758306

Title

President

Phone

(864) 407-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Darryl L Halbert, D.M.D

  • General Practice Dentistry
  • Simpsonville, SC
  • NPI 1982758306
  NPD Authorized official
• Leigh Abigail Garrison Coleman, DMD

  • Dentist
  • Greenwood, SC
  • NPI 1699136705
  NPD (past)
• Lancen W Halbert, D.M.D.

  • General Practice Dentistry
  • Simpsonville, SC
  • NPI 1225583537
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1891286613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HARRISON BRIDGE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807133",
            "telephone_number": "864-630-9103",
            "fax_number": "864-962-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 HIGHWAY 221- 72E",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-630-9103",
            "fax_number": "864-603-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLAN CREEK FAMILY DENTISTRY GREENWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "HALBERT",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-407-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "2867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2867",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Balkcum Turner, D.M.D.
• John Drew Turner, D.M.D.
• Stephanie C. Turner, M.D.
• William Preston Turner III, M.D.
• Tomeko G Tutt
• Savannah Thompson Uldrick
• Upper Savannah Care Services
• Upper Savannah Radiological Associates PA
• Upstate Behavioral Services
• Uptown Counseling Professionals, LLC

• Dental Clinic/Center in Greenwood, SC
• Providers in Greenwood, 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 Aug 9, 2019; 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.