Organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Other names
Spears Market Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING)
(217) 764-8609
Entity
Organization
Contact information
Practice address
171 EARTH RD, ELGIN, SC 29045-7114
(803) 233-1706
Mailing address
171 EARTH RD, ELGIN, SC 29045-7114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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