Wentworth Street Dental Associates, Inc

NPI 1598088312 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1598088312
Enumeration Date 03/08/2010
Last Updated 03/08/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROGERS CONYERS ROGERS
Position C.E.O.
Phone (843) 577-2898
Fax (843) 577-4464
Practice Location
159 WENTWORTH ST
CHARLESTON SC, 29401-6715, US
Phone (843) 577-2898
Fax (843) 577-4464
Business Location
159 WENTWORTH ST
CHARLESTON SC, 29401-6715, US
Phone (843) 577-2898
Fax (843) 577-4464
Toxanomy
Taxonomy Code 302R00000X
License State South Carolina
License Number 1547
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According to our database, Wentworth Street Dental Associates, Inc NPI is 1598088312, taxonomy code is 302R00000X and license number is 1547, license state is located at South Carolina. Wentworth Street Dental Associates, Inc physically located at 159 Wentworth St, Charleston SC, 29401-6715. NPI Number 1033115704 has the healthcare provider type.

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1598088312 NPI number is provided on an as is basis without warranty of any kind. 1598088312 is maintained by the National Plan & Provider Enumeration System. The contents of Wentworth Street Dental Associates, Inc are for informational purposes only.