Organization · Type 2 NPI

Dental Professionals of South Carolina, P.c.

General Practice Dentistry · Columbia, SC

NPI number 1154714079 Active

Practice location

9360 Two Notch Rd
Columbia, SC 29223-6416

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

Other general practice dentistry providers in Columbia

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NPI record

NPI: 1154714079
Entity type: Organization (Type 2)
Issued: Mar 17, 2015
Last updated: Mar 17, 2015
Status: Active
Subpart: Yes of Dental Professionals of South Carolina, P.c.

Other names

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Family Dental Care of Spring Valley · doing business as

Authorized official

Kim Wilson
Cred Supervisor
(217) 540-5170

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154714079

Dental Professionals of South Carolina, P.c.'s National Provider Identifier is 1154714079, issued on Mar 17, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Columbia, SC. The record was last updated on Mar 17, 2015.