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CRESTON DENTAL-1, P.C.
NPI 1972687903
Dentist - General Practice in Anderson, SC

Active since October 25, 2006
3112 N MAIN ST, ANDERSON, SC 29621(678) 904-5665(678) 904-5669 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Creston Dental-1, P.c. NPPES

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

CRESTON DENTAL-1, P.C. (NPI 1972687903), doing business as Kool Smiles Sc, Pc, is a healthcare organization registered as a general practice in Anderson, South Carolina and active in the NPI registry since October 2006. The organization lists Tu Tran, President, as its authorized official.

NPPES Registry Identity

NPI1972687903
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCRESTON DENTAL-1, P.C.
Location Address3112 N MAIN STAnderson, SC 29621-2763
Mailing Address1090 Northchase Pkwy Se Ste 150Marietta, GA 30067-6407 · (770) 916-5036 · Fax (678) 285-4760
Phone(678) 904-5665
Fax(678) 904-5669
Organization SubpartNo
Authorized OfficialTu TranPresident · (770) 916-9000
Enumeration DateOctober 25, 2006
Last NPPES UpdateMay 13, 2019
✔ NPI 1972687903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
3112 N MAIN ST, Anderson, SC 29621
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Other Names 1

Former Legal Business NameKool Smiles Sc, Pc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT TODD TIPTON DMD
Dentist (General Practice)
3112 N MAIN ST
ANDERSON, SC 29621
Anderson County (864) 716-2118
DR. MARTHA CLARK HENDRIX (DMD)
Dentist (General Practice)
3112 N MAIN ST
ANDERSON, SC 29621
Anderson County (864) 716-2118
VICTORIA MICHELE RICE DMD
Dentist (General Practice)
3112 N MAIN ST
ANDERSON, SC 29621
Anderson County (803) 590-3054
DR. ERIC M. VIETH DDS
Dentist (Pediatric Dentistry)
3112 N MAIN ST
ANDERSON, SC 29621
Anderson County (864) 716-2118
DR. RICHARD A MOORE D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
3112 N MAIN ST
ANDERSON, SC 29621
Anderson County (864) 772-6500
DIANE PICCIONI
Dentist (Orthodontics and Dentofacial Orthopedics)
3112 N MAIN ST
ANDERSON, SC 29621
Anderson County (864) 716-2118

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 Creston Dental-1, P.C.'s NPI number?

The NPI number for Creston Dental-1, P.C. is 1972687903. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider was formerly known as Kool Smiles Sc, PC.

Where is Creston Dental-1, P.C. located?

Creston Dental-1, P.C. is located at 3112 N Main St, Anderson, SC 29621. The listed phone number is (678) 904-5665.

What is Creston Dental-1, P.C.'s specialty?

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

What insurance does Creston Dental-1, P.C. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and UnitedHealthcare list Creston Dental-1, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Creston Dental-1, P.C. was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.