Organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Other names
Indian Land Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
7748 CHARLOTTE HWY, INDIAN LAND, SC 29707-9654
(217) 540-5100
Mailing address
7748 CHARLOTTE HWY, INDIAN LAND, SC 29707-9654
(037) 464-0338
(803) 746-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
10/03/2018
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