Organization
CAROLINA CHILDREN'S DENTISTRY, LLC
Active
Other names
Carolina Children's Dentistry Sumter
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FELICIA L GOINS D.D.S (OWNER)
(803) 775-4793
Entity
Organization
Contact information
Practice address
500 PHYSICIANS LN, SUMTER, SC 29150-3370
(803) 775-4793
(803) 934-9943
Mailing address
500 PHYSICIANS LN, SUMTER, SC 29150-3370
(803) 775-4793
(803) 934-9943
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9642
—
SC
Enumeration date
01/22/2007
Last updated
06/25/2012
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