Organization · NPI-2

776 Saint Andrews Blvd Dental Office LLC

Dentist · Charleston, SC

NPI number1114548005
StatusActive
Last updated in NPPESMay 15, 2023

Details

NPI
1114548005
Entity type
Organization (NPI-2)
Legal business name
776 Saint Andrews Blvd Dental Office LLC
Organization subpart
No
Enumeration date
May 1, 2020
Certification date
May 15, 2023
Last updated
May 15, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Other names

  • Expertise Dental (Doing Business As)

Practice location

776 Saint Andrews Blvd
Charleston, SC 29407-7348

Phone 843-769-4600

Mailing address

776 Saint Andrews Blvd
Charleston, SC 29407-7348

Phone 843-769-4600

Authorized official

David Herbert Seay
Business Manager
8433646720

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