Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Bella Vista Family Dental at Five Forks

Organization Dentist · NPI 1073016937

Bella Vista Family Dental at Five Forks provides Dentist services in Simpsonville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2311 Woodruff Rd
Simpsonville, SC 29681-5442
Phone: (864) 501-9800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4377 (SC)
Dentist Taxonomy 122300000X · Licence 4377 (SC)

Record details

NPI number1073016937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Kennedy — Owner · (864) 501-0070
NPI enumeratedMarch 16, 2018
Last updated in NPPESMarch 16, 2018
Mailing addressPo Box 31625, Greenville, SC 29608-1625

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