Organization · Type 2 NPI

Dental Professionals of South Carolina, P.c.

General Practice Dentistry · Hartsville, SC

NPI number 1740617646 Active

Practice location

214 W Home Ave
Hartsville, SC 29550-4126

Fax (843) 857-9359

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 Hartsville

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NPI record

NPI: 1740617646
Entity type: Organization (Type 2)
Issued: Oct 9, 2013
Last updated: Oct 9, 2013
Status: Active
Subpart: Yes of Dental Professionals of South Carolina, P.c.

Other names

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Prestwood Complete Dental Care · 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 1740617646

Dental Professionals of South Carolina, P.c.'s National Provider Identifier is 1740617646, issued on Oct 9, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hartsville, SC. The record was last updated on Oct 9, 2013.