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SOUTHERN PEDIATRIC DENTISTRY P.A.
NPI 1003295031
Dentist - Pediatric Dentistry in Anderson, SC

Active since May 22, 2015
1515 N FANT ST, ANDERSON, SC 29621(864) 844-9393(864) 844-9395 Get Directions Write a Review

NPPES record last updated: May 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Pediatric Dentistry P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN PEDIATRIC DENTISTRY P.A. (NPI 1003295031) is a healthcare organization registered as a pediatric dentistry in Anderson, South Carolina and active in the NPI registry since May 2015. The organization lists Katherine Bray Bryant, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1003295031
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOUTHERN PEDIATRIC DENTISTRY P.A.
Location Address1515 N FANT STAnderson, SC 29621-4707
Mailing Address1515 N Fant StAnderson, SC 29621-4707 · (864) 844-9393 · Fax (864) 844-9395
Phone(864) 844-9393
Fax(864) 844-9395
Organization SubpartNo
Authorized OfficialKatherine Bray BryantPediatric Dentist · (864) 844-9393
Enumeration DateMay 22, 2015
✔ NPI 1003295031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in SC · 4046
Definition
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.
1515 N FANT ST, Anderson, SC 29621
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRTUOUS SALON & SPA
Public Health or Welfare
1515 N FANT ST
ANDERSON, SC 29621
Anderson County (864) 276-2500
DR. DOUGLAS COLLIN BRYANT DMD
Dentist (Pediatric Dentistry)
1515 N FANT ST
ANDERSON, SC 29621
Anderson County (864) 844-9393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Pediatric Dentistry P.A.'s NPI number?

The NPI number for Southern Pediatric Dentistry P.A. is 1003295031. It was assigned to this organization in the NPPES registry on May 22, 2015.

Where is Southern Pediatric Dentistry P.A. located?

Southern Pediatric Dentistry P.A. is located at 1515 N Fant St, Anderson, SC 29621. The listed phone number is (864) 844-9393.

What is Southern Pediatric Dentistry P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Southern Pediatric Dentistry P.A. was last updated on May 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.