Organization Active NPI

Sudduth Management Group LLC

  • Dental Clinic/Center
  • Fountain Inn, SC
National Provider Identifier
1770420077
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUDDUTH MANAGEMENT GROUP LLC
Practice address
101 S Main St Ste a
Fountain Inn, SC 29644-1909
Phone
(864) 531-3300
Fax
(864) 531-3375
NPI assigned
May 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Evan Patrick Sudduth, DMDNPI 1487314506
Title
Dentist/Owner
Phone
(864) 531-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

101 S Main St Ste a
Fountain Inn, SC 29644-1909

Mailing address

101 S Main St Ste a
Fountain Inn, SC 29644-1909
Phone (864) 531-3300

Other names 1

  • Pioneer Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

101 S Main St
Ste A
Fountain Inn, SC 29644
Phone (864) 531-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1770420077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST STE A",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441909",
            "telephone_number": "864-531-3300",
            "fax_number": "864-531-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S MAIN ST STE A",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441909",
            "telephone_number": "864-531-3300",
            "fax_number": "864-531-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDDUTH MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "SUDDUTH",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "864-531-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Inn, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.