Individual
DR. R HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1534 PLATT SPRINGS RD, WEST COLUMBIA, SC 29169
(803) 794-5555
(803) 791-8490
Mailing address
PO BOX 4855, WEST COLUMBIA, SC 29171
(803) 794-5555
(803) 791-8490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2870
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z28701
—
SC
Enumeration date
11/27/2006
Last updated
07/08/2007
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