Organization
DENTISTRY FOR CHILDREN OF SOUTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN RICE (CREDENTIALING DIRECTOR)
(470) 881-8679
Entity
Organization
Contact information
Practice address
1767 S LAKE DR, STE A, LEXINGTON, SC 29073-6734
(404) 389-1950
Mailing address
2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013607
GA
Other
Enumeration date
05/27/2014
Last updated
11/28/2025
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