# NORTHEAST CHILDRENS DENTISTRY

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

## Provider details

- **NPI number:** 1598094138
- **Authorized official:** DR. CHRISLYN EARLINE LAWHON DMD (DENTIST/OWNER)
- **Authorized official phone:** (803) 865-1421

## Contact information

- **Practice address:** 147 SUMMIT CENTRE DR., COLUMBIA, SC 29229
- **Practice address phone:** (803) 865-1421
- **Practice address fax:** (866) 415-7943
- **Mailing address:** 147 SUMMIT CENTRE DR., COLUMBIA, SC 29229
- **Mailing address phone:** (803) 865-1421
- **Mailing address fax:** (866) 415-7943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3891 | SC | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 12/10/2009