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ISSAQUEENA PEDIATRIC DENTISTRY P.A.
NPI 1992056378
Dentist - Pediatric Dentistry in Seneca, SC

Active since September 26, 2012
314 UNION STATION DR, SENECA, SC 29678(864) 482-7900(864) 482-7510 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Issaqueena Pediatric Dentistry P.a. NPPES

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

ISSAQUEENA PEDIATRIC DENTISTRY P.A. (NPI 1992056378) is a healthcare organization registered as a pediatric dentistry in Seneca, South Carolina and active in the NPI registry since September 2012. The organization lists Camille W Horton, President, as its authorized official.

NPPES Registry Identity

NPI1992056378
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameISSAQUEENA PEDIATRIC DENTISTRY P.A.
Location Address314 UNION STATION DRSeneca, SC 29678-4547
Mailing Address314 Union Station DrSeneca, SC 29678-4547 · (864) 482-7900 · Fax (864) 482-7510
Phone(864) 482-7900
Fax(864) 482-7510
Organization SubpartNo
Authorized OfficialCamille W HortonPresident · (864) 482-7900
Enumeration DateSeptember 26, 2012
✔ NPI 1992056378 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 · 4211
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.
314 UNION STATION DR, Seneca, SC 29678
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Other Identifiers 1

Medicaid1588875934SC

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 8

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

REBECCA SMITH
Dental Assistant
314 UNION STATION DR
SENECA, SC 29678
Oconee County (864) 482-7900
MICHELLE MCINNIS KELLER DMD
Dentist
314 UNION STATION DR
SENECA, SC 29678
Oconee County (864) 482-7900
MEGAN MILLON
Dentist (General Practice)
314 UNION STATION DR
SENECA, SC 29678
Oconee County (864) 482-7900
ABIGAIL LAWTON CDA
Dental Assistant
314 UNION STATION DR
SENECA, SC 29678
Oconee County (864) 482-7900
KYLIE MORRILL CDA
Dental Assistant
314 UNION STATION DR
SENECA, SC 29678
Oconee County (864) 482-7900
VERONICA CROSBY CDA
Dental Assistant
314 UNION STATION DR
SENECA, SC 29678
Oconee County (864) 482-7900
DR. CAMILLE WORTHINGTON HORTON DMD
Dentist (Pediatric Dentistry)
314 UNION STATION DR
SENECA, SC 29678
Oconee County (864) 482-7900
MELISSA SMITH
Dental Assistant
314 UNION STATION DR
SENECA, SC 29678
Oconee County (864) 482-7900

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 Issaqueena Pediatric Dentistry P.A.'s NPI number?

The NPI number for Issaqueena Pediatric Dentistry P.A. is 1992056378. It was assigned to this organization in the NPPES registry on September 26, 2012.

Where is Issaqueena Pediatric Dentistry P.A. located?

Issaqueena Pediatric Dentistry P.A. is located at 314 Union Station Dr, Seneca, SC 29678. The listed phone number is (864) 482-7900.

What is Issaqueena Pediatric Dentistry P.A.'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 Issaqueena Pediatric Dentistry P.A. was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.