Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dentrust Dental South Carolina PC

Organization Dentist · NPI 1588407340

Dentrust Dental South Carolina PC provides Dentist services in Columbia, South Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4712 Liberty Division Ave
Columbia, SC 29207-5405
Phone: (803) 334-0530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1588407340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Clark — Director Of Credentialing · (267) 927-5000
Other names Docs Dental Ft.Jackson
NPI enumeratedJune 18, 2024
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address1221 Vinewood Dr, Seffner, FL 33584-4829

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