Dental Professional of South Carolina, P.c.
NPI #1275340879 in Summerville, South Carolina
Provider Information
- NPI Number
- 1275340879
- Entity Type
- Organization
- Organization Name
- Dental Professional of South Carolina, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONAL OF SOUTH CAROLINA, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 17, 2024
- Last Updated
- Dec 17, 2024
Practice Location
- Address
- 1264 NEXTON PKWY STE 2021264
- City
- Summerville
- State
- South Carolina
- ZIP Code
- 29486-2167
- Phone
- (854) 264-5100
Authorized Official
- Name
- HILLARY THULL
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8946
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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