OrganizationActive
Kevin Nietzer DMD PA
NPI 1265942700 · Pediatric Dentistry · Anderson, SC
Kevin Nietzer DMD PA is a Pediatric Dentistry organization in Anderson, SC (NPI 1265942700).
Provider details
- NPI number
- 1265942700
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kevin Nietzer, Owner/Pediatric Dentist(617) 997-5902
- License
- 7003 (SC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
198 Mutual Dr
Anderson, SC 29621-1767
Phone: (864) 760-1440
Fax: (864) 226-9709
Street-level locationGet directions
Mailing address
198 Mutual Dr
Anderson, SC 29621-1767
Other names (DBA / former)
- Doing business as
- Anderson Pediatric Dentistry PA
Registry dates
- Enumerated
- 2017-10-11
- Last updated
- 2017-10-11
Frequently asked questions
- What is Kevin Nietzer DMD PA's NPI number?
- Kevin Nietzer DMD PA's National Provider Identifier (NPI) is 1265942700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kevin Nietzer DMD PA?
- Kevin Nietzer DMD PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Kevin Nietzer DMD PA located?
- Kevin Nietzer DMD PA's practice location on file with NPPES is 198 Mutual Dr, Anderson, SC 29621-1767.
- What is Kevin Nietzer DMD PA's phone number?
- The practice phone number listed in the NPPES registry for Kevin Nietzer DMD PA is (864) 760-1440.
- Who is the authorized official for Kevin Nietzer DMD PA?
- The authorized official listed on Kevin Nietzer DMD PA's NPPES record is Kevin Nietzer, Owner/Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kevin Nietzer DMD PA's NPI active?
- Yes — Kevin Nietzer DMD PA's NPI (1265942700) is active in the NPPES registry as of the last update on 2017-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.