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

Palmetto Periodontics of Greenville PA

Organization Periodontics · NPI 1124332465

Palmetto Periodontics of Greenville PA provides Periodontics in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 E Butler Rd
Greenville, SC 29607-5908 Not confirmed with CMS for 16 years — call before visiting
Phone: (864) 987-9700
Fax: (864) 987-0198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 6919 (SC)

Record details

NPI number1124332465
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Bohlen — Owner · (864) 987-9700
NPI enumeratedJuly 28, 2010
Last updated in NPPESJuly 28, 2010
Mailing address1130 E Butler Rd, Greenville, SC 29607-5908

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