Organization · Type 2 NPI

Spark Orthodontics SC LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Greenville, SC

NPI number 1942113808 Active

Practice location

415 Farrs Bridge Rd
Greenville, SC 29617-1858

Mailing address

PO Box 831228
Philadelphia, PA 19182-1228

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1942113808

Spark Orthodontics SC LLC's National Provider Identifier is 1942113808, issued on Sep 23, 2026. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Greenville, SC. The record was last updated on Sep 23, 2026.