| Dentistry For Children Of South Carolina Pc | |
|
1767 S Lake Dr Ste A Lexington SC 29073-6734 | |
| (404) 389-1950 | |
| Not Available |
| Full Name | Dentistry For Children Of South Carolina Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1767 S Lake Dr, Lexington, South Carolina |
| Authorized Official Name and Position | Charles O Coulter (OWNER) |
| Authorized Official Contact | 4043891950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of South Carolina Pc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2864 Ph: (404) 389-1950 | Dentistry For Children Of South Carolina Pc 1767 S Lake Dr Ste A Lexington SC 29073-6734 Ph: (404) 389-1950 |
| NPI Number | 1376955351 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376955351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013607 (Georgia) | Primary |
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