Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Other names
Dental Care on Ashley Circle
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
3885 W ASHLEY CIR UNIT 640, CHARLESTON, SC 29414-9274
(843) 212-2101
Mailing address
3885 W ASHLEY CIR UNIT 640, CHARLESTON, SC 29414-9274
(843) 212-2101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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