# DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC

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

## Provider details

- **NPI number:** 1376955351
- **Authorized official:** JO ANN RICE (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (470) 881-8679

## Contact information

- **Practice address:** 1767 S LAKE DR, STE A, LEXINGTON, SC 29073-6734
- **Practice address phone:** (404) 389-1950
- **Mailing address:** 2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
- **Mailing address phone:** (770) 692-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | DN013607 | GA | Yes |

## Other

- **Enumeration date:** 05/27/2014
- **Last updated:** 11/28/2025