Organization
SANDHILLS COMMUNITY DENTISTRY
Active
Parent organization
SANDHILLS MEDICAL FOUNDATION
Other names
Sandhills Medical Foundation
Organization subpart
Yes
Provider details
NPI number
Legal business name
SANDHILLS MEDICAL FOUNDATION
Authorized official
TERESA A FERGUSON (RECEPTIONIST)
(843) 680-0813
Entity
Organization
Contact information
Practice address
645 S SEVENTH ST, MC BEE, SC 29101-7101
(843) 680-0813
(843) 335-6309
Mailing address
645 S SEVENTH ST, MC BEE, SC 29101-7101
(843) 680-0813
(843) 335-6309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
ZA9427
SC
261QF0400X
Federally Qualified Health Center (FQHC)
ZA9427
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9427
—
SC
Enumeration date
02/08/2008
Last updated
04/14/2008
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