Individual provider · NPI-1

Dr. Richard Joseph Albenesius, DMD

Dentist, General Practice · Charleston, SC

NPI number1164599940
StatusActive
Last updated in NPPESNov 10, 2016

Details

NPI
1164599940
Entity type
Individual (NPI-1)
Name
Dr. Richard Joseph Albenesius
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 29, 2006
Last updated
Nov 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2556SCYes

Practice location

173 Ashley Ave # Bsb124
Charleston, SC 29425-4826

Phone 843-792-2103

Mailing address

173 Ashley Ave # Bsb349
Charleston, SC 29425-4826

Phone 843-792-2103

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