COLUMBIA DENTAL HEALTH CLINIC NPI 1386101459

NPI Information

COLUMBIA DENTAL HEALTH CLINIC is a dental clinic center in Columbia, SC. COLUMBIA DENTAL HEALTH CLINIC NPI is 1386101459. The provider is registered as an organization entity type.

The provider's business location address is:

2750 LAUREL ST STE 202
COLUMBIA, SC
ZIP 29204-024
Phone: (803) 256-9268

The provider's authorized official is Brandon Mack Cain .
The authorized official title is Owner and has the following contact phone number (803) 309-0047.

The CLIA number assigned to this NPI record is 42D2195346 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/26/2019 and was last updated on 2/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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