Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Other names
Wedgewood Square Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1767 HECKLE BLVD STE 102, ROCK HILL, SC 29732-1878
(803) 992-8531
(803) 980-8873
Mailing address
1767 HECKLE BLVD STE 102, ROCK HILL, SC 29732-1878
(803) 992-8531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
01/15/2021
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