IndividualActive
Albert Primavera, DMD
NPI 1609353606 · Dentist · Indian Land, SC
Provider details
- NPI number
- 1609353606
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 11156 (NC)
Practice location
2021 Bridgemill Dr Ste 100
Indian Land, SC 29707-9211
Phone: (803) 848-7100
Mailing address
1061 Ansley Park Dr
Indian Land, SC 29707-7885
Registry dates
- Enumerated
- 2018-07-23
- Last updated
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.