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Southern Pediatric Dentistry P.a.
Pediatric Dentist in Anderson, South Carolina
NPI 1003295031

Southern Pediatric Dentistry P.a. is a Pediatric Dentist based in Anderson, SC and is specialized in Pediatric Dentistry. Southern Pediatric Dentistry P.a. practices in Anderson, SC. The NPI Number for Southern Pediatric Dentistry P.a. is 1003295031 and holds a License No. 4046 (South Carolina).

The current practice location address for Southern Pediatric Dentistry P.a. is 1515 N Fant St, Anderson, SC and can be reached out via phone at 864-844-9393 and via fax at 864-844-9395.

Location: 1515 N Fant St, Anderson, SC, 29621-4707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003295031
Provider Name
Southern Pediatric Dentistry P.a.
Credential
Provider Entity Type
Organization
Address
1515 N Fant St, Anderson, SC, 29621-4707
Phone Number
864-844-9393
Fax Number
864-844-9395
Provider Enumeration Date
05/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1515 N Fant St
City
Anderson
State
South Carolina
Zip
29621-4707
Phone Number
864-844-9393
Fax Number
864-844-9395
person
Provider Business Mailing Address Details
Address
1515 N Fant St
City
Anderson
State
South Carolina
Zip
29621-4707
Phone Number
864-844-9393
Fax Number
864-844-9395
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
4046 (South Carolina)
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.
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