Organization
FOREST DRIVE DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA SILVER DOVER D.M.D. (PRESIDENT/OWNER)
(803) 782-8786
Entity
Organization
Contact information
Practice address
3731 FOREST DR, COLUMBIA, SC 29204-4007
(803) 782-8786
(803) 782-6682
Mailing address
3731 FOREST DR, COLUMBIA, SC 29204-4007
(803) 782-8786
(803) 782-6682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4660
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4660
—
SC
Enumeration date
12/15/2016
Last updated
06/13/2019
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