EASTSIDE FAMILY DENTISTRY PA
NPI 1548363591
Dentist - General Practice in Anderson, SC

Q: What is Eastside Family Dentistry PA's NPI number?

The NPI number for Eastside Family Dentistry PA is 1548363591. It was assigned to this organization in the NPPES registry on September 6, 2006.

Q: What is Eastside Family Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 06, 2006

3620 EAST RIVER ST, ANDERSON, SC 29621(864) 261-3132(864) 261-6614 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eastside Family Dentistry Pa NPPES

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

EASTSIDE FAMILY DENTISTRY PA (NPI 1548363591) is a healthcare organization registered as a general practice in Anderson, South Carolina and active in the NPI registry since September 2006. The organization lists Stanley Waring Sheftall, President, as its authorized official.

NPPES Registry Identity

NPI1548363591

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameEASTSIDE FAMILY DENTISTRY PA

Location Address3620 EAST RIVER STAnderson, SC 29621-7334

Mailing Address3620 East River StAnderson, SC 29621-7334 · (864) 261-3132 · Fax (864) 261-6614

Phone(864) 261-3132

Fax(864) 261-6614

Organization SubpartNo

Authorized OfficialStanley Waring SheftallPresident · (864) 261-3132

Enumeration DateSeptember 6, 2006

Last NPPES UpdateAugust 27, 2008

✔ NPI 1548363591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 2891

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3620 EAST RIVER ST, Anderson, SC 29621

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Other Identifiers 1

Medicaid2X2891SC

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 Eastside Family Dentistry PA's NPI number?

The NPI number for Eastside Family Dentistry PA is 1548363591. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Eastside Family Dentistry PA located?

Eastside Family Dentistry PA is located at 3620 East River St, Anderson, SC 29621. The listed phone number is (864) 261-3132.

What is Eastside Family Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Eastside Family Dentistry PA was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.