Organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Other names
Dental Care of Boiling Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
Authorized official
PAM HARDIEK (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
2210 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5302
(864) 699-9858
(864) 699-9863
Mailing address
2210 BOILING SPRINGS RD, BOILING SPRINGS, SC 29316-5302
(864) 699-9858
(864) 699-9863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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