Childrens Dentistry of Greenville

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHILDRENS DENTISTRY OF GREENVILLE

Practice address

410 Pelham Rd Ste a
Greenville, SC 29615-3502

Phone

(864) 232-3333

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By 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

Dr. Marc David Workman, DMD

Title

Member

Phone

(864) 235-3949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1992316053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S PLEASANTBURG DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072522",
            "telephone_number": "864-235-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PELHAM RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153502",
            "telephone_number": "864-232-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DENTISTRY OF GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-235-3949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Anastasia Childers, OTR/L
• Tyler K Childers, AA
• Jeffrey Lee Childes, MD
• Children Making Strides of SC LLC
• Children's Respiratory Center, PA
• Childrens Medical Center
• Brian Childress, NREMTB
• Margaret Bentley Childress, M.S. CCC-SLP
• Marissia Childress
• Shannon Childress

• 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 12, 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.