Dental Professionals of South Carolina, P.c.
NPI #1013302785 in Greenville, South Carolina
Provider Information
- NPI Number
- 1013302785
- Entity Type
- Organization
- Organization Name
- Dental Professionals of South Carolina, P.c.
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 31, 2015
- Last Updated
- May 7, 2018
Practice Location
- Address
- 303 ASHBY PARK LN
- City
- Greenville
- State
- South Carolina
- ZIP Code
- 29607-6903
- Phone
- (864) 987-5578
Authorized Official
- Name
- CASSANDRA PETERSEN
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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