# SPECIAL CARE DENTAL OF GEORGIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Special Care Dental of South Carolina, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598156937
- **Authorized official:** KENT ELLINGTON DMD (OWNER)
- **Authorized official phone:** (855) 259-9183

## Contact information

- **Practice address:** 12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
- **Practice address phone:** (502) 244-2441
- **Practice address fax:** (502) 254-4086
- **Mailing address:** 317 RUTH VISTA RD, LEXINGTON, SC 29073-8628
- **Mailing address phone:** (855) 259-9183
- **Mailing address fax:** (502) 254-4086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2015
- **Last updated:** 02/06/2015