Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WACCAMAW PEDIATRIC DENTAL CARE, LLC
Active OrganizationWACCAMAW PEDIATRIC DENTAL CARE, LLC is a Pediatric Dentistry organization located in CONWAY, South Carolina. NPI 1225194558 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CONWAY, SC
Registration Details
- NPI Number
- 1225194558
- Provider Type
- Organization
- NPI Issued
- Dec 29, 2006 (19.65046348442 yrs)
- Last Updated
- Aug 22, 2020
- License
-
3484 (SC)
Practice Information
- Address
-
158 WACCAMAW MEDICAL PARK CTCONWAY, SC, 295268965Browse SC providers · Browse ZIP 29526
- Phone
- 8433475654
- Fax
- 8433473013
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.