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ANDERSON PEDIATRIC DENTISTRY
NPI 1316244858
Dentist - Pediatric Dentistry in Anderson, SC

Active since February 18, 2011
198 MUTUAL DR, ANDERSON, SC 29621(864) 884-6522 Get Directions Write a Review

NPPES record last updated: February 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anderson Pediatric Dentistry NPPES

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

ANDERSON PEDIATRIC DENTISTRY (NPI 1316244858) is a healthcare organization registered as a pediatric dentistry in Anderson, South Carolina and active in the NPI registry since February 2011. The organization lists Kathleen Wilcox Monn, President, as its authorized official.

NPPES Registry Identity

NPI1316244858
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameANDERSON PEDIATRIC DENTISTRY
Location Address198 MUTUAL DRAnderson, SC 29621-1767
Mailing Address35 Willow Oak CtSimpsonville, SC 29681-4999 · (864) 884-6522
Phone(864) 884-6522
Organization SubpartNo
Authorized OfficialKathleen Wilcox MonnPresident · (864) 884-6522
Enumeration DateFebruary 18, 2011
✔ NPI 1316244858 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 · 3818
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
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Other Identifiers 1

MedicaidZX3818SC

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.

KEVIN NIETZER DMD PA
Dentist (Pediatric Dentistry)
198 MUTUAL DR
ANDERSON, SC 29621
Anderson County (864) 760-1440
DR. KEVIN CHRISTOPHER NIETZER DMD
Dentist (Pediatric Dentistry)
198 MUTUAL DR
ANDERSON, SC 29621
Anderson County (864) 760-1440

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 Anderson Pediatric Dentistry's NPI number?

The NPI number for Anderson Pediatric Dentistry is 1316244858. It was assigned to this organization in the NPPES registry on February 18, 2011.

Where is Anderson Pediatric Dentistry located?

Anderson Pediatric Dentistry is located at 198 Mutual Dr, Anderson, SC 29621. The listed phone number is (864) 884-6522.

What is Anderson 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 Anderson Pediatric Dentistry was last updated on February 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.