VICTORY DENTISTRY FOR KIDS
NPI 1386030351
Point of Service in Indian Land, SC

Active since April 07, 2015
9787 CHARLOTTE HWY STE 203, INDIAN LAND, SC 29707(803) 547-2280 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Victory Dentistry For Kids NPPES

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

VICTORY DENTISTRY FOR KIDS (NPI 1386030351), doing business as Victory Pediatric Dentistry, is a healthcare organization registered as a point of service in Indian Land, South Carolina and active in the NPI registry since April 2015. The organization lists Tashia Mcdonald, Manager, as its authorized official.

NPPES Registry Identity

NPI1386030351
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameVICTORY DENTISTRY FOR KIDS
Location Address9787 CHARLOTTE HWY STE 203Indian Land, SC 29707-5511
Mailing Address9787 Charlotte Hwy Ste 203Indian Land, SC 29707-5511 · (803) 547-2280
Organization SubpartNo
Authorized OfficialTashia McdonaldManager · (803) 228-0525
Enumeration DateApril 7, 2015
NPI 1386030351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License Licensed in SC · 4382
Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

9787 CHARLOTTE HWY STE 203, Indian Land, SC 29707

Other Names 1

Former Legal Business NameVictory Pediatric Dentistry

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 (Orthodontics and Dentofacial Orthopedics)
9787 CHARLOTTE HWY STE 203
INDIAN LAND, SC 29707
Dentist (Orthodontics and Dentofacial Orthopedics)
9787 CHARLOTTE HWY STE 203
FORT MILL, SC 29707

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 Victory Dentistry For Kids's NPI number?

The NPI number for Victory Dentistry For Kids is 1386030351. It was assigned to this organization in the NPPES registry on April 7, 2015. The provider was formerly known as Victory Pediatric Dentistry.

Where is Victory Dentistry For Kids located?

Victory Dentistry For Kids is located at 9787 Charlotte Hwy Ste 203, Indian Land, SC 29707. The listed phone number is (803) 547-2280.

What is Victory Dentistry For Kids's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Victory Dentistry For Kids was last updated on April 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.