| Dental Professionals Of South Carolina, P.c. | |
| 209 Latitude Lane Clover SC 29710 | |
| (803) 619-4511 | |
| (803) 619-4586 | 
| Full Name | Dental Professionals Of South Carolina, P.c. | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 209 Latitude Lane, Clover, South Carolina | 
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) | 
| Authorized Official Contact | 2175408312 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dental Professionals Of South Carolina, P.c. 209 Latitude Lane Clover SC 29710 Ph: (803) 619-4511 | Dental Professionals Of South Carolina, P.c. 209 Latitude Lane Clover SC 29710 Ph: (803) 619-4511 | 
| NPI Number | 1619423449 | 
|---|---|
| Provider Enumeration Date | 08/31/2016 | 
| Last Update Date | 01/09/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619423449 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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