ANDERSON PEDIATRIC DENTISTRY (NPI# 1316244858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316244858 |
| Entity Type | Organization |
| Organization Name | ANDERSON PEDIATRIC DENTISTRY |
| Practice Address |
198 Mutual Dr Anderson SC 29621-1767 |
| Mailing Address |
35 Willow Oak Ct Simpsonville SC 29681-4999 |
| Practice Telephone | 8648846522 |
| Mailing Telephone | 8648846522 |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |
| Authorized Official Name | DR. KATHLEEN WILCOX MONN (PRESIDENT) |
| Authorized Official Telephone | 8648846522 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3818 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX3818 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104110923 | Anderson Pediatric Dentistry | Dentist | 502 E 8th St, Anderson, IN 46012-4017 | 2011-06-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Anderson Pediatric Dentistry Inc. | 3650 Colonial Avenue Suite B, Roanoke, Virginia 24018 |
| Street Address |
198 MUTUAL DR |
| City | ANDERSON |
| State | SC |
| Zip Code | 29621-1767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265942700 | Kevin Nietzer Dmd Pa | Dentist | 198 Mutual Dr, Anderson, SC 29621-1767 | 2017-10-11 |
| 1659642312 | Kevin Christopher Nietzer | Dentist | 198 Mutual Dr, Anderson, SC 29621-1767 | 2012-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
| 1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
| 1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
| 1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
| 1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
| 1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
| 1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
| 1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
| Find all providers in zip 29621 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619337722 | Family Orthodontics of Anderson | Dentist | 3416 N Highway 81, Anderson, SC 29621-3628 | 2016-03-02 |
| 1568558393 | Nassim Fayez Olabi | Dentist | 502 E 8th St, Anderson, IN 46012-4017 | 2006-10-05 |
| 1265942700 | Kevin Nietzer Dmd Pa | Dentist | 198 Mutual Dr, Anderson, SC 29621-1767 | 2017-10-11 |
| 1003295031 | Southern Pediatric Dentistry P.a. | Dentist | 1515 N Fant St, Anderson, SC 29621-4707 | 2015-05-22 |
| 1659710465 | Douglas Collin Bryant | Dentist | 1515 N Fant St, Anderson, SC 29621-4707 | 2013-06-14 |
| 1659642312 | Kevin Christopher Nietzer | Dentist | 198 Mutual Dr, Anderson, SC 29621-1767 | 2012-01-25 |
| 1104110923 | Anderson Pediatric Dentistry | Dentist | 502 E 8th St, Anderson, IN 46012-4017 | 2011-06-09 |
| 1598983025 | Gary Joseph Hinz | Dentist | 502 E 8th St, Anderson, IN 46012-4017 | 2007-04-22 |
| 1477664977 | Richard William Weinzapfel | Dentist | 1827 N Madison Ave, Anderson, IN 46011 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598493 | Pleasant Mill Pediatric Dentistry | Dentist | 1690 Highway 160 W Ste A, Fort Mill, SC 29708-8024 | 2020-11-02 |
| 1124635495 | Destination Dental of Duncan LLC | Dentist | 155 Deacon Tiller Ct, Duncan, SC 29334-8880 | 2020-09-30 |
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1811519507 | Stephanie Silva Dmd, LLC | Dentist | 133 Allen Court, North Augusta, SC 29860 | 2020-05-15 |
| 1235776568 | Tribe Dental LLC | Dentist | 11 Magnolia Cove Dr, Simpsonville, SC 29680 | 2019-12-05 |
| 1457994196 | Sfd Mt. Pleasant LLC | Dentist | 3102 N Highway 17, Mount Pleasant, SC 29466-6925 | 2019-10-25 |
| 1073162053 | Southern Charm Pediatric Dentistry | Dentist | 2021 Bridgemill Rd., Suite 108, Indian Land, SC 29707-2817 | 2019-09-11 |
| 1649825969 | Oak Landing Pediatric Dentistry, LLC | Dentist | 2001 2nd Ave Ste 102, Summerville, SC 29486-7887 | 2019-08-04 |
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1588130942 | Dentistry for Children of South Carolina PC | Dentist | 1701 Beaucastel Rd Ste A, Mount Pleasant, SC 29464-3685 | 2018-10-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.