Wentworth Street Dental Associates, INC
NPI #1598088312 in Charleston, South Carolina
Provider Information
- NPI Number
- 1598088312
- Entity Type
- Organization
- Organization Name
- Wentworth Street Dental Associates, INC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Mar 8, 2010
- Last Updated
- Mar 8, 2010
Practice Location
- Address
- 159 WENTWORTH ST
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29401-6715
- Phone
- (843) 577-2898
Authorized Official
- Name
- DR. ROGERS CONYERS REEVES, D.M.D.
- Title
- C.E.O.
- Phone
- (843) 577-2898
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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