NPI 1013367499 · live from the CMS NPI Registry
Carolina Family Orthodontics Of Greenridge, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Greenville, SC. National Provider Identifier 1013367499, active.
NPI record
| NPI | 1013367499 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 15 Garlington Rd Ste 200, Greenville, SC 29615 |
| Practice phone | 864-722-2922 |
| Mailing address | 400 Memorial Drive Ext Ste 400, Greer, SC 29651 |
| Enumerated | June 16, 2016 |
| Last updated | April 21, 2026 |
| Authorized official | Beth Illsley, Director Of Insurance |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.