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General NPI Number Information
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NPI Number | 1851258123
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Entity Type | Organization
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Legal Business Name | SOUTH CAROLINA DENTAL TEAM PC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 3911 HIGHWAY 17 UNIT B
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City | MURRELLS INLET
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State | SC
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Zip | 29576-5014
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Country | US
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Telephone | 854-894-4525
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Fax | 843-473-8475
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Provider Business Mailing Address
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Address Line | 9709 LAKESIDE BLVD STE 350
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City | SPRING
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State | TX
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Zip | 77381-1216
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Country | US
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Telephone | 713-489-2198
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Fax | 713-489-2978
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Authorized Official
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Title or Position | OWNER
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Name | ANN BYNUM
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Credential | DDS
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Telephone | 713-489-2198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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