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Kevin Nietzer Dmd Pa
Pediatric Dentist in Anderson, South Carolina
NPI 1265942700

Kevin Nietzer Dmd Pa is a Pediatric Dentist based in Anderson, SC and is specialized in Pediatric Dentistry. Kevin Nietzer Dmd Pa practices in Anderson, SC. The NPI Number for Kevin Nietzer Dmd Pa is 1265942700 and holds a License No. 7003 (South Carolina).

The current practice location address for Kevin Nietzer Dmd Pa is 198 Mutual Dr, Anderson, SC and can be reached out via phone at 864-760-1440 and via fax at 864-226-9709.

Location: 198 Mutual Dr, Anderson, SC, 29621-1767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265942700
Provider Name
Kevin Nietzer Dmd Pa
Credential
Provider Entity Type
Organization
Address
198 Mutual Dr, Anderson, SC, 29621-1767
Phone Number
864-760-1440
Fax Number
864-226-9709
Provider Enumeration Date
10/11/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
198 Mutual Dr
City
Anderson
State
South Carolina
Zip
29621-1767
Phone Number
864-760-1440
Fax Number
864-226-9709
person
Provider Business Mailing Address Details
Address
198 Mutual Dr
City
Anderson
State
South Carolina
Zip
29621-1767
Phone Number
864-760-1440
Fax Number
864-226-9709
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
7003 (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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