Organization
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Active
Other names
MUSC College of Dental Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BALLENTINE MBA (ASSISTANT DEAN OF FINANCE AND ADMIN)
(843) 792-2441
Entity
Organization
Contact information
Practice address
1594 FREEDOM BLVD, FLORENCE, SC 29505-6046
(843) 876-7645
Mailing address
PO BOX 737811, DALLAS, TX 75373-7811
(843) 876-7645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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