Dental Professionals of South Carolina, P.c.

NPI #1215300777 in Columbia, South Carolina

Provider Information

NPI Number
1215300777
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
Nov 5, 2015
Last Updated
Nov 5, 2015

Practice Location

Address
6876 SAINT ANDREWS RD
ZIP Code
29212-1403
Phone
(803) 732-4690

Authorized Official

Name
HEATHER PRUEMER
Title
INSURANCE/CREDENTIALING
Phone
(217) 540-8434

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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