Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Pediatric Dentistry PA

Organization Pediatric Dentistry · NPI 1003295031

Southern Pediatric Dentistry PA provides Pediatric Dentistry in Anderson, South Carolina. Licensed in South Carolina. Registered with an NPI since 2015.

Licensed in
SC
In the registry since
2015
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1515 N Fant St
Anderson, SC 29621-4707 Not confirmed with CMS for 11 years — call before visiting
Phone: (864) 844-9393
Fax: (864) 844-9395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 4046 (SC)

Record details

NPI number1003295031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Bryant — Pediatric Dentist · (864) 844-9393
NPI enumeratedMay 22, 2015
Last updated in NPPESMay 22, 2015
Mailing address1515 N Fant St, Anderson, SC 29621-4707

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