Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Pediatric Dentistry LLC

Organization Pediatric Dentistry · NPI 1598400475

Riverside Pediatric Dentistry LLC is a Pediatric Dentistry in Florence, South Carolina. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

461 W Cheves St
Florence, SC 29501-4446
Phone: (843) 601-2442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1598400475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Bourgoyne — Office Manager · (843) 536-9888
NPI enumeratedMay 4, 2022
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing addressPo Box 5776, Florence, SC 29502-5776

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