OrganizationActive
Southern Charm Pediatric Dentistry
NPI 1073162053 · Pediatric Dentistry · Indian Land, SC
Southern Charm Pediatric Dentistry is a Pediatric Dentistry organization in Indian Land, SC (NPI 1073162053).
Provider details
- NPI number
- 1073162053
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Angelica Wong, Owner(562) 441-4757
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2021 Bridgemill Rd.
Suite 108
Indian Land, SC 29707-2817
Phone: (562) 441-4757
Street-level locationGet directions
Mailing address
1305 Waynewood Dr
Waxhaw, NC 28173-6907
Registry dates
- Enumerated
- 2019-09-11
- Last updated
- 2019-09-11
Frequently asked questions
- What is Southern Charm Pediatric Dentistry's NPI number?
- Southern Charm Pediatric Dentistry's National Provider Identifier (NPI) is 1073162053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Charm Pediatric Dentistry?
- Southern Charm Pediatric Dentistry is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Southern Charm Pediatric Dentistry located?
- Southern Charm Pediatric Dentistry's practice location on file with NPPES is 2021 Bridgemill Rd., Indian Land, SC 29707-2817.
- What is Southern Charm Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Southern Charm Pediatric Dentistry is (562) 441-4757.
- Who is the authorized official for Southern Charm Pediatric Dentistry?
- The authorized official listed on Southern Charm Pediatric Dentistry's NPPES record is Angelica Wong, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Charm Pediatric Dentistry's NPI active?
- Yes — Southern Charm Pediatric Dentistry's NPI (1073162053) is active in the NPPES registry as of the last update on 2019-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.