KEVIN NIETZER DMD PA NPI 1265942700

NPI Information

KEVIN NIETZER DMD PA is a pediatric dentistry dentist in Anderson, SC. The provider is 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. KEVIN NIETZER DMD PA NPI is 1265942700. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Anderson Pediatric Dentistry Pa.

The provider's business location address is:

198 MUTUAL DR
ANDERSON, SC
ZIP 29621-767
Phone: (864) 760-1440
Fax: (864) 226-9709

The provider's authorized official is Kevin Nietzer .
The authorized official title is Owner/pediatric Dentist and has the following contact phone number (617) 997-5902.

The enumeration date for this NPI number is 10/11/2017 and was last updated on 10/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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