# ASHBY PARK PEDIATRIC DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598892028
- **Authorized official:** JENNIFER L GARVEY DMD (PRESIDENT)
- **Authorized official phone:** (864) 234-3424

## Contact information

- **Practice address:** 100 REGENT PARK CT, GREENVILLE, SC 29607-6534
- **Practice address phone:** (864) 234-3424
- **Practice address fax:** (864) 234-8234
- **Mailing address:** 100 REGENT PARK CT, GREENVILLE, SC 29607-6534
- **Mailing address phone:** (864) 234-3424
- **Mailing address fax:** (864) 234-8234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3638 | SC | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZA9638 | — | SC |