| Southern Pediatric Dentistry P.a. | |
|
1515 N Fant St Anderson SC 29621-4707 | |
| (864) 844-9393 | |
| (864) 844-9395 |
| Full Name | Southern Pediatric Dentistry P.a. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1515 N Fant St, Anderson, South Carolina |
| Authorized Official Name and Position | Katherine Bray Bryant (PEDIATRIC DENTIST) |
| Authorized Official Contact | 8648449393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Pediatric Dentistry P.a. 1515 N Fant St Anderson SC 29621-4707 Ph: (864) 844-9393 | Southern Pediatric Dentistry P.a. 1515 N Fant St Anderson SC 29621-4707 Ph: (864) 844-9393 |
| NPI Number | 1003295031 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003295031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4046 (South Carolina) | Primary |
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