Organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Other names
Dental Care at Marketplace
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
2680 N MAIN ST STE A, SUMMERVILLE, SC 29486-8763
(843) 376-8020
(843) 376-8035
Mailing address
2680 N MAIN ST STE A, SUMMERVILLE, SC 29486-8763
(843) 376-8020
(843) 376-8035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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