Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
Active
Parent organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
Other names
Smiles at Carolina Forest
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF SOUTH CAROLINA, PC
Authorized official
HEATHER PRUEMER (CREDENTIALING)
(217) 540-8434
Entity
Organization
Contact information
Practice address
100 DEBO DR UNIT 110, MYRTLE BEACH, SC 29579-4921
(844) 514-4569
Mailing address
100 DEBO DR UNIT 110, MYRTLE BEACH, SC 29579-4921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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