Dental Professionals of South Carolina, P.c.

NPI #1265777353 in Columbia, South Carolina

Provider Information

NPI Number
1265777353
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 30, 2012
Last Updated
Dec 31, 2012

Practice Location

Address
131 HARBISON BLVD STE G
ZIP Code
29212-2226
Phone
(803) 661-9529

Authorized Official

Name
COURTNEY MINTON
Title
INSURANCE/CREDENTIALING
Phone
(217) 540-5699

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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