SOUTHERN CHARM PEDIATRIC DENTISTRY
NPI 1073162053
Dentist - Pediatric Dentistry in Indian Land, SC

Q: What is Southern Charm Pediatric Dentistry's NPI number?

The NPI number for Southern Charm Pediatric Dentistry is 1073162053. It was assigned to this organization in the NPPES registry on September 11, 2019.

Q: What is Southern Charm Pediatric Dentistry's specialty?

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

Active since September 11, 2019

2021 BRIDGEMILL RD., SUITE 108, INDIAN LAND, SC 29707(562) 441-4757 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Southern Charm Pediatric Dentistry NPPES

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

SOUTHERN CHARM PEDIATRIC DENTISTRY (NPI 1073162053) is a healthcare organization registered as a pediatric dentistry in Indian Land, South Carolina and active in the NPI registry since September 2019. The organization lists Angelica Wong, Owner, as its authorized official.

NPPES Registry Identity

NPI1073162053

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameSOUTHERN CHARM PEDIATRIC DENTISTRY

Location Address2021 BRIDGEMILL RD., SUITE 108Indian Land, SC 29707-2817

Mailing Address1305 Waynewood DrWaxhaw, NC 28173-6907 · (562) 441-4757

Phone(562) 441-4757

Organization SubpartNo

Authorized OfficialAngelica WongOwner · (562) 441-4757

Enumeration DateSeptember 11, 2019

✔ NPI 1073162053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

2021 BRIDGEMILL RD., Indian Land, SC 29707

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Charm Pediatric Dentistry's NPI number?

The NPI number for Southern Charm Pediatric Dentistry is 1073162053. It was assigned to this organization in the NPPES registry on September 11, 2019.

Where is Southern Charm Pediatric Dentistry located?

Southern Charm Pediatric Dentistry is located at 2021 Bridgemill Rd. Suite 108, Indian Land, SC 29707. The listed phone number is (562) 441-4757.

What is Southern Charm Pediatric Dentistry'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 Charm Pediatric Dentistry was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.