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General NPI Number Information
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NPI Number | 1356210272
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Entity Type | Organization
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Legal Business Name | SC EMERGENCY DENTAL LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 6941 N TRENHOLM RD
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City | COLUMBIA
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State | SC
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Zip | 29206-1715
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Country | US
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Telephone | 803-302-7375
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Fax | 803-384-7698
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Provider Business Mailing Address
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Address Line | 6941 N TRENHOLM RD
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City | COLUMBIA
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State | SC
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Zip | 29206-1715
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Country | US
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Telephone | 803-302-7375
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Fax | 803-384-7698
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW GAMBRELL
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Credential | DMD
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Telephone | 803-302-7375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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