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

Dr. Albert Anthony Primavera Jr., DMD

Individual provider General Practice Dentistry · NPI 1609353606

Dr. Albert Anthony Primavera Jr., DMD is a General Practice Dentistry in Indian Land, South Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2021 Bridgemill Dr Ste 100
Indian Land, SC 29707-9211
Phone: (803) 848-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11156 (NC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 11156 (NC)

Record details

NPI number1609353606
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 23, 2018
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022

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