# FLORENCE PEDIATRIC DENTISTRY

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

## Provider details

- **NPI number:** 1245551027
- **Authorized official:** DR. KIMBERLY C. ELVINGTON D. M. D. (DENTIST)
- **Authorized official phone:** (843) 661-5700

## Contact information

- **Practice address:** 680 SENIOR WAY, FLORENCE, SC 29505
- **Practice address phone:** (843) 661-5700
- **Practice address fax:** (843) 661-5710
- **Mailing address:** 680 SENIOR WAY, FLORENCE, SC 29505
- **Mailing address phone:** (843) 661-5700
- **Mailing address fax:** (843) 661-5710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3963 | SC | Yes |

## Other

- **Enumeration date:** 06/16/2010
- **Last updated:** 09/06/2013