Individual
DR. SCOTT MICHAEL BALZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10 RICHLAND MEDICAL PARK DR STE A, COLUMBIA, SC 29203-6892
(803) 434-6567
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026440
OH
1223G0001X
General Practice Dentistry
Primary
10145
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX0145
—
SC
Enumeration date
05/12/2021
Last updated
01/19/2023
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