Dental Professionals of South Carolina, P.c.
NPI #1205389681 in Columbia, South Carolina
Provider Information
- NPI Number
- 1205389681
- Entity Type
- Organization
- Organization Name
- Dental Professionals of South Carolina, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 2, 2016
- Last Updated
- Nov 8, 2016
Practice Location
- Address
- 460 KILLIAN ROAD
- Address 2
- UNIT 1
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29203
- Phone
- (803) 753-4754
Authorized Official
- Name
- KENDRA WALKER
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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