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Organization

MEDICAL UNIVERSITY OF SOUTH CAROLINA

Active
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Organization

MEDICAL UNIVERSITY OF SOUTH CAROLINA

Active
Other names
MUSC College of Dental Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN BALLENTINE MBA (ASSISTANT DEAN OF FINANCE AND ADMIN)
(843) 792-2441
Entity
Organization

Contact information

Practice address
1594 FREEDOM BLVD, FLORENCE, SC 29505-6046
(843) 876-7645
Mailing address
PO BOX 737811, DALLAS, TX 75373-7811
(843) 876-7645

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
02/19/2026
Last updated
02/19/2026
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