ANDERSON PEDIATRIC DENTISTRY PA
NPI 1265942700
Dentist - Pediatric Dentistry in Anderson, SC

Active since October 11, 2017
198 MUTUAL DR, ANDERSON, SC 29621(864) 760-1440(864) 226-9709 Get Directions Write a Review

NPPES record last updated: October 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anderson Pediatric Dentistry Pa NPPES

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

ANDERSON PEDIATRIC DENTISTRY PA (NPI 1265942700) is a healthcare organization registered as a pediatric dentistry in Anderson, South Carolina and active in the NPI registry since October 2017. The organization lists Kevin Nietzer, Owner/pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1265942700
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKEVIN NIETZER DMD PA
Location Address198 MUTUAL DRAnderson, SC 29621-1767
Mailing Address198 Mutual DrAnderson, SC 29621-1767 · (864) 760-1440 · Fax (864) 226-9709
Fax(864) 226-9709
Organization SubpartNo
Authorized OfficialKevin NietzerOwner/pediatric Dentist · (617) 997-5902
Enumeration DateOctober 11, 2017
NPI 1265942700 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 · 7003
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.

198 MUTUAL DR, Anderson, SC 29621

Other Names 1

Doing Business AsAnderson Pediatric Dentistry Pa

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

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.

Dentist (Pediatric Dentistry)
198 MUTUAL DR
ANDERSON, SC 29621
Dentist (Pediatric Dentistry)
198 MUTUAL DR
ANDERSON, SC 29621

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 Kevin Nietzer Dmd PA's NPI number?

The NPI number for Kevin Nietzer Dmd PA is 1265942700. It was assigned to this organization in the NPPES registry on October 11, 2017. The provider is doing business as Anderson Pediatric Dentistry PA.

Where is Kevin Nietzer Dmd PA located?

Kevin Nietzer Dmd PA is located at 198 Mutual Dr, Anderson, SC 29621. The listed phone number is (864) 760-1440.

What is Kevin Nietzer Dmd PA'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 Kevin Nietzer Dmd PA was last updated on October 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.