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Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Active
Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Charleston Restorative & Cosmetic Dentistry, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
1040 SAVANNAH HWY, CHARLESTON, SC 29407-7804
(843) 556-8030
Mailing address
1040 SAVANNAH HWY, CHARLESTON, SC 29407-7804
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/08/2020
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