# DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC

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

## Provider details

- **NPI number:** 1588130942
- **Authorized official:** JO ANN RICE (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (470) 881-8679

## Contact information

- **Practice address:** 1701 BEAUCASTEL RD STE A, MOUNT PLEASANT, SC 29464-3685
- **Practice address phone:** (843) 818-5437
- **Practice address fax:** (843) 725-1594
- **Mailing address:** 808 WAPPOO RD, CHARLESTON, SC 29407-5865
- **Mailing address phone:** (843) 818-5437
- **Mailing address fax:** (843) 725-1594

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2018
- **Last updated:** 11/28/2025
