Organization · NPI-2

Ammons Dental By Design - Wentworth, LLC

Dentist · Charleston, SC

NPI number1609266105
StatusActive
Last updated in NPPESFeb 4, 2015

Details

NPI
1609266105
Entity type
Organization (NPI-2)
Legal business name
Ammons Dental By Design - Wentworth, LLC
Organization subpart
No
Enumeration date
Feb 4, 2015
Last updated
Feb 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist6938SCYes

Practice location

159 Wentworth St
Charleston, SC 29401-1731

Phone 843-577-2898 · Fax 843-577-4464

Mailing address

159 Wentworth St
Charleston, SC 29401-1731

Phone 843-577-2898 · Fax 843-577-4464

Authorized official

Michael William Ammons
Owner
8435772898

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