Paul E. Rundberg, DMD, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1767 Issued in SC

Legal business name

PAUL E. RUNDBERG, DMD, PA

Practice address

40 Creekview CT
Greenville, SC 29615-4800

Phone

(864) 676-0825

Fax

(864) 676-9859

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Edward Rundberg, DMD

Title

President

Phone

(864) 676-0825

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942224548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CREEKVIEW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154800",
            "telephone_number": "864-676-0825",
            "fax_number": "864-676-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CREEKVIEW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154800",
            "telephone_number": "864-676-0825",
            "fax_number": "864-676-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E. RUNDBERG, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUNDBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-676-0825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "1767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Patteson
• Bobbie Pattillo, PHARMD
• Ashleigh M Patton, SAS, CPSS
• Robert M Patton, MD
• Abi Paudel
• Joshua Paul, MD
• Dennis Ryan Paulk, M.D.
• Olga S Paulovic, M.D.
• Donna Marie Paulowsky, D.C.
• Haley Pauls, LPC-A, CRC

• 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 Aug 22, 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.