JAN W WROBLESKI (NPI# 1689723330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689723330 |
| Entity Type | Individual |
| Full Name | JAN W WROBLESKI |
| Credential | DDS |
| Practice Address |
389 Johnnie Dodds Blvd Suite B Mt Pleasant SC 29464-2950 |
| Mailing Address |
1130 Professional Ln Mt Pleasant SC 29466-7193 |
| Practice Telephone | 8438847041 |
| Practice Fax Number | 8439719299 |
| Mailing Telephone | 8432165879 |
| Mailing Fax Number | 8432165891 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2011-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2085 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Z20850 | 05 |
| Street Address |
389 JOHNNIE DODDS BLVD SUITE B |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29464-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053376491 | Kids Teeth, LLC | Dentist | 389 Johnnie Dodds Blvd, Suite B, Mt Pleasant, SC 29464-2950 | 2006-04-19 |
| 1730657321 | Luke Parham | Pharmacist | 389 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-2932 | 2018-11-13 |
| 1033685383 | Madison Caudle | Pharmacist | 389 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-2932 | 2018-10-14 |
| 1912209529 | East Cooper Podiatry | Podiatrist | 389 Johnnie Dodds Blvd, Suite # 100, Mt Pleasant, SC 29464-2968 | 2010-12-02 |
| 1245389808 | Willaim D Macdonald | Dentist | 389 Johnnie Dodds Blvd, Suite B, Mt Pleasant, SC 29464-2950 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396184370 | Adam Joseph Pamer | Dentist | 1320 S Green Bay Rd, Mt Pleasant, WI 53406-4406 | 2013-06-23 |
| 1144394305 | Robert Michael Myers | Dentist | 1109 Mathis Ferry Rd, Mt Pleasant, SC 29464-2650 | 2006-11-20 |
| 1437233137 | Randall James Pagenkopf | Dentist | 757 Long Point Rd # A, Mt Pleasant, SC 29464-8226 | 2006-10-25 |
| 1053376491 | Kids Teeth, LLC | Dentist | 389 Johnnie Dodds Blvd, Suite B, Mt Pleasant, SC 29464-2950 | 2006-04-19 |
| 1619507357 | Paramount Pediatric Dentistry of Racine | Dentist | 5820 Washington Ave, Mt Pleasant, WI 53406-4020 | 2020-01-22 |
| 1245389808 | Willaim D Macdonald | Dentist | 389 Johnnie Dodds Blvd, Suite B, Mt Pleasant, SC 29464-2950 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598493 | Pleasant Mill Pediatric Dentistry | Dentist | 1690 Highway 160 W Ste A, Fort Mill, SC 29708-8024 | 2020-11-02 |
| 1124635495 | Destination Dental of Duncan LLC | Dentist | 155 Deacon Tiller Ct, Duncan, SC 29334-8880 | 2020-09-30 |
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1811519507 | Stephanie Silva Dmd, LLC | Dentist | 133 Allen Court, North Augusta, SC 29860 | 2020-05-15 |
| 1235776568 | Tribe Dental LLC | Dentist | 11 Magnolia Cove Dr, Simpsonville, SC 29680 | 2019-12-05 |
| 1457994196 | Sfd Mt. Pleasant LLC | Dentist | 3102 N Highway 17, Mount Pleasant, SC 29466-6925 | 2019-10-25 |
| 1073162053 | Southern Charm Pediatric Dentistry | Dentist | 2021 Bridgemill Rd., Suite 108, Indian Land, SC 29707-2817 | 2019-09-11 |
| 1649825969 | Oak Landing Pediatric Dentistry, LLC | Dentist | 2001 2nd Ave Ste 102, Summerville, SC 29486-7887 | 2019-08-04 |
| 1851858013 | The Tot Spot of South Carolina | Dentist | 1334 S. Hwy 14, Simpsonville, SC 29681 | 2019-02-25 |
| 1588130942 | Dentistry for Children of South Carolina PC | Dentist | 1701 Beaucastel Rd Ste A, Mount Pleasant, SC 29464-3685 | 2018-10-23 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 29464 |
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| 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.