| Organization Name: | SANDHILLS COMMUNITY DENTISTRY |
| NPI Number: | 1841478146 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERESA A FERGUSON (RECEPTIONIST) |
| Mailing Address: | 645 S Seventh St Mc Bee |
| State: | SC US |
| Postal Code: | 291017101 |
| Phone Number: | 8436800813 |
| Fax Number: | 8433356309 |
| NPI Enumeration Date: | 02/08/2008 |
| NPI Last Update Date: | 04/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | ZA9427 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |