Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA
Active
Parent organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Other names
Palmetto Coast Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
11421 OCEAN HWY STE E, PAWLEYS ISLAND, SC 29585-5409
(217) 540-5100
Mailing address
11421 OCEAN HWY STE E, PAWLEYS ISLAND, SC 29585-5409
(217) 540-5100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
07/21/2022
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