CHARLESTON DENTAL & DENTURES LLC (NPI# 1104468172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104468172 |
| Entity Type | Organization |
| Organization Name | CHARLESTON DENTAL & DENTURES LLC |
| Practice Address |
2020 Savannah Hwy Charleston SC 29407-6286 |
| Mailing Address |
Po Box 1332 Williamsville NY 14231-1332 |
| Practice Telephone | 8438522400 |
| Practice Fax Number | 8438523300 |
| Mailing Telephone | 5183766328 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | DOUG CLOSINSKI (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5183766328 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dental, Dentures & Implants | Doing Business As Name - Organization |
| Street Address |
2020 SAVANNAH HWY |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407-6286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336417567 | David L Reynolds | Dentist | 2020 Savannah Hwy, Charleston, SC 29407-6286 | 2011-12-02 |
| 1245741115 | Savannah Highway Dental PC | Clinic/Center | 2020 Savannah Hwy, Charleston, SC 29407-6286 | 2017-10-19 |
| 1336589795 | Christopher Blane Daniel | Dentist | 2020 Savannah Hwy, Charleston, SC 29407-6286 | 2013-07-01 |
| 1700134459 | Brendon Prestwich | Dentist | 2020 Savannah Hwy, Charleston, SC 29407-6286 | 2012-08-28 |
| 1194071175 | Creighton Jones All | Dentist | 2020 Savannah Hwy, Charleston, SC 29407-6286 | 2012-07-27 |
| 1841554441 | Dental Holdings PC | Dentist | 2020 Savannah Hwy, Charleston, SC 29407-6286 | 2012-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303770 | Holy City Dentistry LLC | Clinic/Center | 862 Folly Rd Ste 110, Charleston, SC 29412-3452 | 2019-08-29 |
| 1902345630 | Smile On Charleston, LLC | Clinic/Center | 91 Rutledge Ave, Charleston, SC 29401-1722 | 2017-02-14 |
| 1710389879 | Smileology Eco Dental Spa PC | Clinic/Center | 2106 Mount Pleasant St, # P-137, Charleston, SC 29403-3026 | 2014-09-19 |
| 1871848218 | Endodontic Associates of Charleston | Clinic/Center | 349 Folly Rd Ste 1c, Charleston, SC 29412-2508 | 2012-07-23 |
| 1295915866 | Charles E Wright Dds | Clinic/Center | 1005b Bridge Rd, Charleston, WV 25314-1305 | 2007-11-12 |
| 1023180528 | Ellis Oaks Dental Center LLC | Clinic/Center | 776 Daniel Ellis Drive, Suite 3a, Charleston, SC 29412 | 2006-11-14 |
| 1740892827 | James Myers IIi LLC | Clinic/Center | 112 1/2 Ashley Ave, Charleston, SC 29401-1249 | 2020-08-19 |
| 1508478777 | Cfd Ji LLC | Clinic/Center | 693 Whispering Marsh Dr, Charleston, SC 29412-4423 | 2020-08-19 |
| 1932711314 | Charleston Family Dentistry of West Ashley | Clinic/Center | 2170 Savannah Hwy, Charleston, SC 29414-5311 | 2020-08-18 |
| 1740788330 | Joyner Family Dentistry LLC | Clinic/Center | 2030 Wambaw Crk Ste 106, Charleston, SC 29492-8382 | 2018-01-29 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
Please comment or provide details below to improve the information on CHARLESTON DENTAL & DENTURES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.