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John Frazier Boutwell, DDS

NPI 1770108102ActiveIndividual· Dentist· Greenville, SC

Dentist (DDS) in Greenville, South Carolina, licensed in SC and LA, with an NPI issued in June 2020. Enrolled in Medicare as order and referring only - dentist. Straumann USA LLC reported $223.59 in payments in 2025, mostly food and beverage.

Overview

NPI1770108102
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedJun 11, 2020
Last updated in NPPESJan 20, 2022
Certified by providerJan 20, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X9855SC
Dentist122300000X7099LA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Dentist (LA)

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$223.59 · 5 payments from 1 company
  • 2024$40.02 · 2 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Straumann USA LLC$223.595

What the 2025 payments were for

  • Food and Beverage$131.90 · 4 payments
  • Gift$91.69 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other dentists in Greenville

All 94 dentists in Greenville · All dentists in South Carolina