Organization · NPI-2
Affordable Dentures & Implants - West Ashley, P.C.
Dentist, General Practice · Charleston, SC
NPI number1194420745
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1194420745
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentures & Implants - West Ashley, P.C.
- Organization subpart
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1123 Ashley River RdCharleston, SC 29407-7101
Phone 843-402-9595
Mailing address
1123 Ashley River RdCharleston, SC 29407-7101
Phone 843-402-9595
Authorized official
Cody Neill
Owner
8434029595
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