Dental Professional of South Carolina, P.c.

NPI #1346044625 in Elgin, South Carolina

Provider Information

NPI Number: 1346044625
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
Enumeration Date: Apr 3, 2025
Last Updated: Apr 3, 2025

Practice Location

Address: 171 EARTH RD
City: Elgin
State: South Carolina
ZIP Code: 29045-7114
Phone: (803) 233-1706

Authorized Official

Name: CEMYIRA MCDOUGAL
Title: CREDENTIALING
Phone: (217) 764-8609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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