# CAROLINA CHILDREN'S DENTISTRY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Carolina Children's Dentistry Sumter
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528112398
- **Authorized official:** DR. FELICIA L GOINS D.D.S (OWNER)
- **Authorized official phone:** (803) 775-4793

## Contact information

- **Practice address:** 500 PHYSICIANS LN, SUMTER, SC 29150-3370
- **Practice address phone:** (803) 775-4793
- **Practice address fax:** (803) 934-9943
- **Mailing address:** 500 PHYSICIANS LN, SUMTER, SC 29150-3370
- **Mailing address phone:** (803) 775-4793
- **Mailing address fax:** (803) 934-9943

## Taxonomy

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

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 06/25/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZA9642 | — | SC |