Organization
SPECIAL CARE DENTAL OF GEORGIA, LLC
Active
Other names
Special Care Dental of South Carolina, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KENT ELLINGTON DMD (OWNER)
(855) 259-9183
Entity
Organization
Contact information
Practice address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 254-4086
Mailing address
317 RUTH VISTA RD, LEXINGTON, SC 29073-8628
(855) 259-9183
(502) 254-4086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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