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.
Organization
RYAN O'MALLEY LLC
Active
Organization
RYAN O'MALLEY LLC
Active
Other names
Southern Oak Dental Simpsonville, O'Malley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY CASTLE (DIRECTOR OF PAYOR CONTRACTS)
(912) 732-1504
Entity
Organization
Contact information
Practice address
419 SE MAIN ST, SUITE 100, SIMPSONVILLE, SC 29681-2673
(864) 962-4140
(864) 962-4142
Mailing address
419 SE MAIN ST STE 100, SIMPSONVILLE, SC 29681-2674
(864) 962-4140
(864) 962-4142
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
6921
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710290663
INDIVIDUAL NPI
SC
01
—
1831503580
INDIVIDUAL NPI
—
Enumeration date
02/18/2014
Last updated
06/11/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up