# FOREST DRIVE DENTAL CARE, P.A.

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

## Provider details

- **NPI number:** 1134663784
- **Authorized official:** DR. JOANNA SILVER DOVER D.M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (803) 782-8786

## Contact information

- **Practice address:** 3731 FOREST DR, COLUMBIA, SC 29204-4007
- **Practice address phone:** (803) 782-8786
- **Practice address fax:** (803) 782-6682
- **Mailing address:** 3731 FOREST DR, COLUMBIA, SC 29204-4007
- **Mailing address phone:** (803) 782-8786
- **Mailing address fax:** (803) 782-6682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4660 | SC | Yes |

## Other

- **Enumeration date:** 12/15/2016
- **Last updated:** 06/13/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZX4660 | — | SC |