Organization
COLUMBIA DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P KLEITCHES D.M.D (OWNER)
(803) 738-2424
Entity
Organization
Contact information
Practice address
4702 FOREST DR, COLUMBIA, SC 29206-3109
(803) 738-2424
(803) 738-0277
Mailing address
PO BOX 6723, COLUMBIA, SC 29260-6723
(803) 738-2424
(803) 738-0277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z32224
—
SC
Enumeration date
02/09/2007
Last updated
06/22/2022
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