Spark Orthodontics SC LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SPARK ORTHODONTICS SC LLC

Doing business as

Oak Tree Orthodontics

Practice address

415 Farrs Bridge Rd
Greenville, SC 29617-1858

Phone

(864) 232-3333

NPI assigned

Sep 23, 2026

Organization subpart

No

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

Authorized official

Name

Sherrie Edmondson

Title

Director

Phone

(629) 666-8621

Specialties & licenses 1

Addresses

Other names 1

• Oak Tree Orthodontics Doing business as

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1942113808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 831228",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191821228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 FARRS BRIDGE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171858",
            "telephone_number": "864-232-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK ORTHODONTICS SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "629-666-8621"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Tree Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregorio O'Neill Spagnolo, PA-C
• Shelley M. Spang, CRNA
• Belle Spangle
• Stephanie Ann Spanioli, NP
• Spark Dental SC LLC (Oak Tree Pediatric Dentistry)
• Spark Therapy Group LLC
• Rida Sparks-Freemont, APRN, FNP-BC
• Clarissa Sparks, RBT
• Kaelyn Brett Sparks, APRN
• Macy Sparks, OD

• Orthodontics and Dentofacial Orthopedics Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.