SOUTHERN PEDIATRIC DENTISTRY P.A.
SOUTHERN PEDIATRIC DENTISTRY P.A. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003295031, based in Anderson, SC. It is classified under Pediatric Dentistry.
Getting there
Here is what surrounds this office in Anderson, based on OpenStreetMap data collected Sep 16, 2026. Parking is available about 0.43 mi away.
Getting here and what is nearby
Restaurant L Taco 0.29 mi ~6 min
Restaurant J C's sandwich Shoppe 0.29 mi ~6 min
713 East Greenville Street, Anderson 29621
Su closed, Mo-Th 11:00-19:00, Fr-Sa 11:00-15:00
Grocery Ingles 0.29 mi ~6 min
1900 North Main Street, Anderson 29621
Gas station Ingles Gas Express 0.33 mi ~7 min
Parking 0.33 mi ~7 min
Restaurant Wendy's 0.33 mi ~7 min
605 East Greenville Street, Anderson 29621
Mo-Th 07:00-22:00; Fr-Sa 07:00-23:00; Su 07:00-22:00
Gas station BP 0.36 mi ~8 min
Parking 0.41 mi ~9 min
Parking 0.43 mi ~9 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4046 | SC | Pediatric Dentistry primary |
This provider holds licence 4046 issued in SC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Pediatric Dentistry covers
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. NUCC Health Care Provider Taxonomy, code 1223P0221X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003295031 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 22, 2015 |
| Last updated | May 22, 2015 |
| Status | Active |
| Practice address |
1515 N FANT ST Anderson, SC 29621 (864) 844-9393 Fax (864) 844-9395 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 9 | 5 | 0 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 9 | 1 | 0 | 6 |
Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.