Individual
COLE PROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1652 CHURCH ST, CONWAY, SC 29526-2962
(843) 733-3387
Mailing address
552 WILDFLOWER TRL, MYRTLE BEACH, SC 29579-7220
(843) 655-7970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11422
SC
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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