Dental Professionals Of South Carolina, P.C.
Dentist, General Practice in Charleston, SC. Organization (NPI-2).
NPI number1124624176
StatusActive
Last updated in NPPESDec 8, 2020
Details
- NPI
- 1124624176
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Professionals Of South Carolina, P.C.
- Organization subpart
- Yes
- Enumeration date
- Dec 7, 2020
- Certification date
- Dec 8, 2020
- Last updated
- Dec 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Charleston Restorative & Cosmetic Dentistry, LLC (Doing Business As)
Practice location
1040 Savannah HwyCharleston, SC 29407-7804
Phone 843-556-8030
Mailing address
1040 Savannah HwyCharleston, SC 29407-7804
Authorized official
Tabatha Lemke
Credentialing Coordinator
2175406078
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