Sea Glass Periodontics of Simpsonville LLC
Sea Glass Periodontics of Simpsonville LLC provides Periodontics in Simpsonville, South Carolina. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
110A Hospital DrSimpsonville, SC 29681-3226
Phone: (864) 757-8820
Fax: (864) 751-6387
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X |
|---|
Record details
| NPI number | 1295344646 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Sea Glass Periodontics |
| Authorized official | Beth Illsley — Director Of Insurance · (864) 282-1935 |
| NPI enumerated | July 30, 2020 |
| Last updated in NPPES | July 30, 2020 |
| Certification date | July 30, 2020 |
| Mailing address | 400 Memorial Drive Ext Ste 400, Greer, SC 29651-1850 |