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Waccamaw Pediatric Dental Care, Llc
Pediatric Dentist in Conway, South Carolina
NPI 1225194558

Waccamaw Pediatric Dental Care, Llc is a Pediatric Dentist based in Conway, SC and is specialized in Pediatric Dentistry. Waccamaw Pediatric Dental Care, Llc practices in Conway, SC. The NPI Number for Waccamaw Pediatric Dental Care, Llc is 1225194558 and holds a License No. 3484 (South Carolina).

The current practice location address for Waccamaw Pediatric Dental Care, Llc is 158 Waccamaw Medical Park Ct, Conway, SC and can be reached out via phone at 843-347-5654 and via fax at 843-347-3013.

Location: 158 Waccamaw Medical Park Ct, Conway, SC, 29526-8965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225194558
Provider Name
Waccamaw Pediatric Dental Care, Llc
Credential
Provider Entity Type
Organization
Address
158 Waccamaw Medical Park Ct, Conway, SC, 29526-8965
Phone Number
843-347-5654
Fax Number
843-347-3013
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZA9510 05 SC
institution
Provider Business Practice Location Address Details
Address
158 Waccamaw Medical Park Ct
City
Conway
State
South Carolina
Zip
29526-8965
Phone Number
843-347-5654
Fax Number
843-347-3013
person
Provider Business Mailing Address Details
Address
158 Waccamaw Medical Park Ct
City
Conway
State
South Carolina
Zip
29526-8965
Phone Number
843-347-5654
Fax Number
843-347-3013
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
3484 (South Carolina)
Definition
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.
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