COLUMBIA CHILDREN'S DENTISTRY PA NPI 1932685872

NPI Information

COLUMBIA CHILDREN'S DENTISTRY, PA is a pediatric dentistry dentist in Columbia, SC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. COLUMBIA CHILDREN'S DENTISTRY, PA NPI is 1932685872. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3731 FOREST DR
COLUMBIA, SC
ZIP 29204-007
Phone: (803) 782-5492

The provider's authorized official is Michael Dover .
The authorized official title is Officer and has the following contact phone number (803) 553-4560.

The CLIA number assigned to this NPI record is 42D2253886 - other - clinical research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2018 and was last updated on 7/13/2018.

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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