Progrin Dental of Greenville

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

310627727 Issued in SC

Legal business name

PROGRIN DENTAL OF GREENVILLE

Practice address

201 Old Boiling Springs Rd Ste a
Greer, SC 29650-4257

Phone

(864) 561-7559

NPI assigned

Nov 18, 2014

Last updated

Nov 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Lee Ayers

Title

Owner

Phone

(864) 561-7559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1962808980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OLD BOILING SPRINGS RD STE A",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OLD BOILING SPRINGS RD STE A",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504257",
            "telephone_number": "864-561-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRIN DENTAL OF GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-561-7559",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "310627727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX2558",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Proactive MD SC,P.a. (Proactive MD Greer Health Center)
• Professional Pharmacy at Mt View in
• Professional Pharmacy at Mt. View, Inc
• Professional Pharmacy of Greer, Inc
• Professional Pharmacy of Greer, Inc
• Progrin Dental of Greer, LLC
• Progrin Dental of North Greer, LLC
• Donna Prymak
• PT Solutions of Acworth LLC
• Publix Super Markets Inc (Publix Pharmacy #0531)

• General Practice Dentistry in Greer, SC
• Providers in Greer, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.