# COMPREHENSIVE DENTAL CENTER OF SOUTH CAROLINA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063941128
- **Authorized official:** DR. FELICIA DELINA SINGLETARY (CEO)
- **Authorized official phone:** (252) 443-9097

## Contact information

- **Practice address:** 841 ENTERPRISE RD STE A, DILLON, SC 29536-7821
- **Practice address phone:** (843) 487-5156
- **Practice address fax:** (843) 487-5161
- **Mailing address:** 841 ENTERPRISE RD STE A, DILLON, SC 29536-7821
- **Mailing address phone:** (843) 487-5156
- **Mailing address fax:** (843) 487-5161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/12/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 432076791 | PRIVATE INSURANCES | SC |
| 05 | — | 432076791 | — | SC |