Organization
SUSAN M COLLINS DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN M COLLINS DMD (OWNER)
(803) 324-3277
Entity
Organization
Contact information
Practice address
1251 EBENEZER RD, ROCK HILL, SC 29732-2353
(803) 324-3277
(803) 324-2264
Mailing address
1251 EBENEZER RD, ROCK HILL, SC 29732-2353
(803) 324-3277
(803) 324-2264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2854
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z-28541
—
SC
Enumeration date
05/14/2008
Last updated
05/14/2008
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