Organization
COMPREHENSIVE DENTAL CENTER OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA DELINA SINGLETARY (CEO)
(252) 443-9097
Entity
Organization
Contact information
Practice address
841 ENTERPRISE RD STE A, DILLON, SC 29536-7821
(843) 487-5156
(843) 487-5161
Mailing address
841 ENTERPRISE RD STE A, DILLON, SC 29536-7821
(843) 487-5156
(843) 487-5161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432076791
PRIVATE INSURANCES
SC
05
—
432076791
—
SC
Enumeration date
06/12/2017
Last updated
07/21/2022
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