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Organization

DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.

Active
Parent organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Other names
Dental Care on Beaver Run
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING)
(217) 764-8609
Entity
Organization

Contact information

Practice address
2641 BEAVER RUN BLVD, SURFSIDE BEACH, SC 29575-5387
(843) 649-0000
(843) 649-0001
Mailing address
2641 BEAVER RUN BLVD, SURFSIDE BEACH, SC 29575-5387
(843) 649-0000
(843) 649-0001

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
04/20/2026
Last updated
04/20/2026
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