Dental Professional Of South Carolina, P.C.
Dentist, General Practice in Mt Pleasant, SC. Organization (NPI-2).
NPI number1619517463
StatusActive
Last updated in NPPESMar 17, 2020
Details
- NPI
- 1619517463
- Entity type
- Organization (NPI-2)
- Legal business name
- Dental Professional Of South Carolina, P.C.
- Organization subpart
- Yes
- Enumeration date
- Jan 9, 2020
- Certification date
- Mar 17, 2020
- Last updated
- Mar 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Dental Care At Winnowing Way (Doing Business As)
Practice location
1135 Muhlenbergia DrMt Pleasant, SC 29466-7586
Phone 843-628-4267
Mailing address
1135 Muhlenbergia Dr Ste 101Mt Pleasant, SC 29466-7586
Phone 843-654-1082 · Fax 843-936-2286
Authorized official
Jessica Britt
Credentialing Coordinator
2175405100
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