Active NPI
Downtown Dental, LLC
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1972877710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4272
- Legal business name
- DOWNTOWN DENTAL, LLC
- Practice address
- 400 E McBee Ave
Suite 108
Greenville, SC 29601-2940 - Phone
- (864) 438-2646
- NPI assigned
- Feb 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Burris Kenna III, DMD
- Title
- Manager
- Phone
- (864) 438-2646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4272 | SC | Primary |
Addresses
Primary practice location
400 E McBee Ave
Suite 108
Greenville, SC 29601-2940
Mailing address
400 E McBee Ave
Suite 108
Greenville, SC 29601-2940
Phone (864) 438-2646
National Provider Directory
National Provider DirectoryLocations
400 E McBee Ave
Ste 108
Greenville, SC 29601
Phone (864) 438-2646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330041600000",
"number": "1972877710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E MCBEE AVE",
"address_2": "SUITE 108",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012940",
"telephone_number": "864-438-2646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E MCBEE AVE",
"address_2": "SUITE 108",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012940",
"telephone_number": "864-438-2646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNTOWN DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A",
"authorized_official_last_name": "KENNA",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "BURRIS",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "864-438-2646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.