NPI 1316331127

Victory Dental Center

Organisation Preferred Provider Organization Indian Land, SC

Practice location

Address: 9787 Charlotte Hwy STE 201, Indian Land, SC 29707-5511
Phone: (803) 547-2280
Fax: (803) 547-4208

Authorised official

Name: Cedrick McDonald
Title: Owner
Phone: (803) 547-2280

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 4382 (SC)

Other Preferred Provider Organization providers in South Carolina →

Registry record

NPI: 1316331127
Entity type: Organization
NPI issued: 19 Mar 2015
Record last updated: 19 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.