Search › South Carolina › 122300000X
Inti Mendoza Carrasco
NPI 1225910805 · on the registry since 2025
Practice
- Address
- 1257 Broad St
Sumter, SC 29150 - Phone
- (803) 773-1355
- Organisation at this address
- Basta Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina