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Organization

DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.

Active
Parent organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization

Contact information

Practice address
5452B PLATT SPRINGS RD, LEXINGTON, SC 29073-8327
(803) 756-2185
(803) 756-2186
Mailing address
5452B PLATT SPRINGS RD, LEXINGTON, SC 29073-8327
(803) 756-2185
(803) 756-2186

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
01/30/2026
Last updated
01/30/2026
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