Kevin Nietzer Dmd Pa

Specialty details in registry · Anderson, SC

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At a glance

198 Mutual Dr, Anderson, SC 29621-1767

NPPES record updated Oct 11, 2017. Public records can lag behind changes at a practice.

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Practice location

198 Mutual Dr
Anderson, SC 29621-1767

Professional details: NPI, taxonomy & registry record

NPI1265942700

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223P0221X
Enumeration date: Oct 11, 2017
Record updated: Oct 11, 2017

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

1223P0221X · Primary

License reported: 7003 SC

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

198 Mutual Dr
Anderson, SC 29621-1767

Phone: (864) 760-1440
Fax: (864) 226-9709

Mailing address

198 MUTUAL DR

ANDERSON, SC 296211767

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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