Reedy River Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

REEDY RIVER DENTISTRY

Practice address

1803 Augusta St Ste a
Greenville, SC 29605-2980

Phone

(864) 272-3091

Fax

(864) 272-3093

NPI assigned

Feb 14, 2023

Organization subpart

No

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

Authorized official

Name

Jonathan Hunter Hicklin, DMDNPI 1982838884

Title

Owner

Phone

(864) 272-3091

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jonathan Hunter Hicklin, D.M.D.

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1982838884
  NPD Authorized official

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1962109595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 AUGUSTA ST STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052980",
            "telephone_number": "864-272-3091",
            "fax_number": "864-272-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 AUGUSTA ST STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296052980",
            "telephone_number": "864-272-3091",
            "fax_number": "864-272-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEDY RIVER DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "HICKLIN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-272-3091",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Reed
• Rachel Reed
• Sarah Beth Reed, C.R.N.A.
• Bradley Dale Reeder, ACNP
• Reedy River Community Healthcare, LLC (Reedy River Post Acute)
• Ann E Reese, NP
• Anna Hatfield Reese, PA-C
• Antionette Ann Reese
• Brianna Reese, APRN
• Kaitlin Reese

• 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 Feb 14, 2023; 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.