# DENTISTRY FOR CHILDREN OF SOUTH CAROLINA, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentistry for Children of South Carolina
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790020907
- **Authorized official:** JO ANN RICE (CREDENTIALING DIRECTOR)
- **Authorized official phone:** (470) 881-8679

## Contact information

- **Practice address:** 1470 TOBIAS GADSON BLVD, SUITE 100, CHARLESTON, SC 29407-4707
- **Practice address phone:** (843) 571-5644
- **Mailing address:** 2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
- **Mailing address phone:** (770) 692-1000
- **Mailing address fax:** (678) 444-4152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 3253 | SC | Yes |

## Other

- **Enumeration date:** 11/29/2012
- **Last updated:** 11/28/2025