Organization
CAROLINA ELITE DENTAL
Active
Parent organization
CAROLINA ELITE DENTAL
Other names
Cox Family Dentistry and Kingston Village Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA ELITE DENTAL
Authorized official
CINDY M HAWKINS (VICE PRESIDENT OF OPERATIONS)
(912) 660-3432
Entity
Organization
Contact information
Practice address
KINGSTON VILLAGE DENTISTRY, 900 A MAIN STREET, CONWAY, SC 29526-2952
(843) 488-3710
Mailing address
11 CUNNINGTON AVE, CHARLESTON, SC 29405-9312
(912) 660-3432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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