Pediatric DentistIndex

Kevin Nietzer, DMD

Pediatric dentist in Anderson, SC

Registered providerLicense # listed (SC)

Call (864) 760-1440Send a messageMap ↗

Public-record details

Address
198 Mutual Dr, Anderson, SC 29621
Phone
(864) 760-1440
Listed under
Individual pediatric dentists
NPI
1659642312
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Pediatric Dentistry (1223P0221X)
Credentials listed
DMD
License number on NPI record
7003 (SC)
NPI first issued
Jan 25, 2012
Years since NPI first issued
14 years (since 2012)
License state on NPI record
SC
NPI record last updated
Nov 17, 2016
Pediatric dentistry listings at this street address
2 (this one included)

NPI 1659642312 is active in the federal NPPES registry (CMS) with Pediatric Dentistry, an ADA-recognized dental specialty, as its self-reported primary taxonomy; license 7003 (SC) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Pediatric Dentist Index does not vet, employ, recommend or guarantee pediatric dental practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Pediatric Dentist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Pediatric dentists are dentists who completed an accredited pediatric dentistry residency after dental school. A registered specialty is not board certification. Verify the dental license with the state dental board and board certification with the American Board of Pediatric Dentistry.

View NPI 1659642312 in the official registry ↗

Practices and dentists at this address

Other listings in this directory whose NPI record gives the same street address and ZIP. A shared address usually means a shared practice or building; it does not by itself show who works with whom.

Registered specialty is not board certification. Verify the license with the state dental board and board certification with the American Board of Pediatric Dentistry. Ask which insurance and Medicaid/CHIP plans the practice accepts.

Other pediatric dentistry listings in Anderson

All 5 in Anderson →