Organization · Type 2 NPI

Holly Tree Pediatric Dentistry

Pediatric Dentistry · Simpsonville, SC

NPI number 1083008890 Active

Practice location

1334 Highway 14
Simpsonville, SC 29681-5659

Fax (864) 297-4166

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	3427 (SC)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

5 other providers at this address

Other pediatric dentistry providers in Simpsonville

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NPI record

NPI: 1083008890
Entity type: Organization (Type 2)
Issued: Mar 19, 2015
Last updated: Feb 29, 2024
Status: Active

Other names

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Holly Tree Pediatric Dentistry · doing business as
Holly Tree Pediatric Dentistry · doing business as

Authorized official

Ann Bynum, DDS
President
(864) 297-5585

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083008890

Holly Tree Pediatric Dentistry's National Provider Identifier is 1083008890, issued on Mar 19, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Simpsonville, SC. The record was last updated on Feb 29, 2024.