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POWDERSVILLE PEDIATRIC DENTISTRY, PA
NPI 1417965922
Dentist - Pediatric Dentistry in Easley, SC

Active since August 03, 2006
10705 ANDERSON ROAD, EASLEY, SC 29642(864) 220-5437(864) 220-0420 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Powdersville Pediatric Dentistry, Pa NPPES

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

POWDERSVILLE PEDIATRIC DENTISTRY, PA (NPI 1417965922) is a healthcare organization registered as a pediatric dentistry in Easley, South Carolina and active in the NPI registry since August 2006. The organization lists Melanie Richards, Owner President, as its authorized official.

NPPES Registry Identity

NPI1417965922
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePOWDERSVILLE PEDIATRIC DENTISTRY, PA
Location Address10705 ANDERSON ROADEasley, SC 29642
Mailing Address10705 Anderson RoadEasley, SC 29642 · (864) 220-5437 · Fax (864) 220-0420
Phone(864) 220-5437
Fax(864) 220-0420
Organization SubpartNo
Authorized OfficialMelanie RichardsOwner President · (864) 220-5437
Enumeration DateAugust 3, 2006
Last NPPES UpdateSeptember 9, 2013
✔ NPI 1417965922 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 · 3152
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.
10705 ANDERSON ROAD, Easley, SC 29642
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Other Identifiers 5

Other214665Anthem Blue Cross
Other706109United Concordia
Other3126152TN · Blue Cross Blue Shield
MedicaidZA9574SC
Other88009615AL · Blue Cross Blue Shield

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 Powdersville Pediatric Dentistry, PA's NPI number?

The NPI number for Powdersville Pediatric Dentistry, PA is 1417965922. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Powdersville Pediatric Dentistry, PA located?

Powdersville Pediatric Dentistry, PA is located at 10705 Anderson Road, Easley, SC 29642. The listed phone number is (864) 220-5437.

What is Powdersville Pediatric Dentistry, 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 Powdersville Pediatric Dentistry, PA was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.