Carolina Elite Dental

NPI #1508598384 in Conway, South Carolina

Provider Information

NPI Number: 1508598384
Entity Type: Organization
Organization Name: Carolina Elite Dental
Subpart: Yes (part of a larger organization)
Parent Organization: CAROLINA ELITE DENTAL
Primary Specialty: Dentist
Enumeration Date: Jun 29, 2022
Last Updated: Jun 29, 2022

Practice Location

Address: KINGSTON VILLAGE DENTISTRY
Address 2: 900 A MAIN STREET
City: Conway
State: South Carolina
ZIP Code: 29526-2952
Phone: (843) 488-3710

Authorized Official

Name: CINDY M HAWKINS
Title: VICE PRESIDENT OF OPERATIONS
Phone: (912) 660-3432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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