Organization
FOUNDATION DENTAL PARTNERS SOUTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CUTLER (VP OF INTEGRATION AND ADMINISTRATIO)
(607) 743-9474
Entity
Organization
Contact information
Practice address
3026 FARROW RD, COLUMBIA, SC 29203-7002
(803) 255-0200
Mailing address
296 S MAIN ST STE 300, ALPHARETTA, GA 30009-1973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
05/12/2022
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