Organization · Type 2 NPI

Dental Professionals of South Carolina, PC

General Practice Dentistry · Indian Land, SC

NPI number 1871964015 Active

Practice location

1028 Edgewater Corp. Pkwy, Suite 101
Indian Land, SC 29707

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.

Other general practice dentistry providers in Indian Land

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NPI record

NPI: 1871964015
Entity type: Organization (Type 2)
Issued: Oct 14, 2015
Last updated: Oct 14, 2015
Status: Active
Subpart: Yes of Dental Professionals of South Carolina, PC

Other names

<unavail>
Edgewater Family Dental · doing business as

Authorized official

Kendra Walker
Credentialing Coordinator
(217) 540-8312

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 1871964015

Dental Professionals of South Carolina, PC's National Provider Identifier is 1871964015, issued on Oct 14, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Indian Land, SC. The record was last updated on Oct 14, 2015.