Organization
DENTAL ASSOCIATES OF SOUTH CAROLINA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDON A ROSS D.D.S. (CORPORATE OFFICER)
(864) 224-1925
Entity
Organization
Contact information
Practice address
104 BUFORD AVE, ANDERSON, SC 29621-3314
(864) 224-1925
Mailing address
104 BUFORD AVE, ANDERSON, SC 29621-3314
(864) 224-1925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3260
SC
1223G0001X
General Practice Dentistry
Primary
3286
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9728
—
SC
Enumeration date
08/30/2006
Last updated
08/22/2020
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