Alexis Collins Childrens Dentistry
Dentist, Pediatric Dentistry in Columbia, SC. Organization (NPI-2).
NPI number1851662274
StatusActive
Last updated in NPPESDec 30, 2022
Details
- NPI
- 1851662274
- Entity type
- Organization (NPI-2)
- Legal business name
- Alexis Collins Childrens Dentistry
- Organization subpart
- No
- Enumeration date
- Jan 17, 2012
- Certification date
- Dec 30, 2022
- Last updated
- Dec 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 4507 | SC | Yes |
Practice location
392 Saint Andrews RdColumbia, SC 29210-4427
Phone 803-772-7302 · Fax 803-772-7353
Mailing address
1774 Dutch Fork RdIrmo, SC 29063-8829
Phone 803-772-7302 · Fax 803-772-7353
Authorized official
Alexis Collins
Owner
8037727302
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All 19 Pediatric Dentistry providers in Columbia · All 14,701 providers in Columbia
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