Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BLAKE LEWIS TOLLISON, DMD, MSD
Active Sole ProprietorDR. BLAKE LEWIS TOLLISON, DMD, MSD is a Orthodontics healthcare provider located in GREENVILLE, South Carolina. NPI 1629517719 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · GREENVILLE, SC
Registration Details
- NPI Number
- 1629517719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2017 (9.5095686576147 yrs)
- Last Updated
- May 12, 2025
- Licenses
-
D.6883-C1 (AL)8950 (SC)10920 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20 CREEKVIEW CT STE AGREENVILLE, SC, 296154800Browse SC providers · Browse ZIP 29615
- Phone
- 8643291971
- Fax
- 8643291973
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Dentist
- Additional Specialty
- Orthodontics
Other Orthodontics Providers in GREENVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| DR. LISA M FARIS | D.M.D. M.S. | 1699741413 |
| DR. RICHARD F. HEWITT | DDS,MSD | 1649376591 |
| DR. DAVID WATSON III | DMD | 1710085360 |
| DR. KAREN S. ROGERS | D.M.D., M.S. | 1649377953 |
| DR. J. BRIAN HAMBY | DMD | 1174605521 |
| DR. DONALD W. HUNT JR. | D.M.D., M.S.D. | 1538221064 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.