| Dentistry For Children Of South Carolina Pc | |
|
203 N Lake Dr Lexington SC 29072-2833 | |
| (404) 389-1950 | |
| Not Available |
| Full Name | Dentistry For Children Of South Carolina Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 203 N 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 203 N Lake Dr Lexington SC 29072-2833 Ph: (404) 389-1950 |
| NPI Number | 1952713927 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952713927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN13607 (Georgia) | Primary |
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