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Organization
COMPREHENSIVE DENTAL CENTER OF SOUTH CAROLINA
Active
Organization
COMPREHENSIVE DENTAL CENTER OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA DELINA SINGLETARY (CEO)
(252) 443-9097
Entity
Organization
Contact information
Practice address
841 ENTERPRISE RD STE A, DILLON, SC 29536-7821
(843) 487-5156
(843) 487-5161
Mailing address
841 ENTERPRISE RD STE A, DILLON, SC 29536-7821
(843) 487-5156
(843) 487-5161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432076791
PRIVATE INSURANCES
SC
05
—
432076791
—
SC
Enumeration date
06/12/2017
Last updated
07/21/2022
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