Provider Demographics
NPI:1043836091
Name:TODAYS DENTAL AT GREENVILLE LLC
Entity Type:Organization
Organization Name:TODAYS DENTAL AT GREENVILLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SREEKANTH
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:EMANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:864-999-9899
Mailing Address - Street 1:1530 POINSETT HWY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-2929
Mailing Address - Country:US
Mailing Address - Phone:864-999-9899
Mailing Address - Fax:864-274-0708
Practice Address - Street 1:1530 POINSETT HWY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-2929
Practice Address - Country:US
Practice Address - Phone:846-999-9899
Practice Address - Fax:803-764-1410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-24
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty