| Dental Professional Of South Carolina, P.c. | |
|
1575 Silver Bluff Rd Aiken SC 29803-8609 | |
| (839) 248-2565 | |
| (839) 248-2566 |
| Full Name | Dental Professional Of South Carolina, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1575 Silver Bluff Rd, Aiken, South Carolina |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professional Of South Carolina, P.c. 1575 Silver Bluff Rd Aiken SC 29803-8609 Ph: (839) 248-2565 | Dental Professional Of South Carolina, P.c. 1575 Silver Bluff Rd Aiken SC 29803-8609 Ph: (839) 248-2565 |
| NPI Number | 1659220614 |
|---|---|
| Provider Enumeration Date | 01/23/2026 |
| Last Update Date | 02/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659220614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Charlotte C. Wiedenman, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 Fauburg St Sw, Aiken, SC 29801 Phone: 803-649-0430 | |
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