Powdersville Pediatric Dentistry, Pa is a Pediatric Dental Clinic in Easley, South Carolina. It is located at 10705 Anderson Road, Easley, SC and its contact number is 864-220-5437. The authorized person for Powdersville Pediatric Dentistry, Pa is Dr. Melanie Richards
who is Owner President of the clinic and their contact number is 864-220-5437. The primary license number for Powdersville Pediatric Dentistry, Pa is 3152 (Pediatric Dentistry) in South Carolina. Powdersville Pediatric Dentistry, Pa Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Powdersville Pediatric Dentistry, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Powdersville Pediatric Dentistry, Pa
Specialization:
Pediatric Dentistry
Clinic Address:
10705 Anderson Road, Easley, South Carolina, 29642
Phone:
864-220-5437
Fax:
864-220-0420
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Melanie Richards
Position:
Owner President
Contact Number:
864-220-5437
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Powdersville Pediatric Dentistry, Pa clinic are as mentioned below.
NPI Number:
1417965922
NPI Enumeration Date:
03 Aug, 2006
NPI Last Update On:
09 Sep, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Powdersville Pediatric Dentistry, Pa are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
3152
South Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
88009615
Other
Alabama
Blue Cross Blue Shield
706109
Other
United Concordia
214665
Other
Anthem Blue Cross
3126152
Other
Tennessee
Blue Cross Blue Shield
ZA9574
Medicaid
South Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Powdersville Pediatric Dentistry, Pa 10705 Anderson Road, Easley, South Carolina
Zip:
29642
Phone Number:
864-220-5437
Fax Number:
864-220-0420
Patients can reach Powdersville Pediatric Dentistry, Pa at 10705 Anderson Road, Easley, South Carolina or can call to book an appointment on 864-220-5437. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.