Organization
UNIVERSITY DENTAL PA
Active
Other names
University Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORETTA KAY FELDER MCKELVEY DDS (OWNER PRESIDENT CEO)
(803) 252-8101
Entity
Organization
Contact information
Practice address
2329 DEVINE STREET, COLUMBIA, SC 29250
(803) 252-8101
(803) 779-7721
Mailing address
PO BOX 50664, 2329 DEVINE STREET, COLUMBIA, SC 29250
(803) 252-8101
(803) 779-7721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411265
VA
122300000X
Dentist
DN013211
GA
122300000X
Dentist
Primary
SC2642
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZ2642
—
SC
Enumeration date
05/25/2007
Last updated
08/22/2020
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