Comprehensive Dentistry For Adults Inc | |
1470 Tobias Gadson Blvd Suite 100b Charleston SC 29407-4707 | |
(843) 556-9939 | |
(843) 769-6625 |
Full Name | Comprehensive Dentistry For Adults Inc |
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Speciality | Dentist |
Location | 1470 Tobias Gadson Blvd, Charleston, South Carolina |
Authorized Official Name and Position | James C Lesch (DENTIST/ OWNER) |
Authorized Official Contact | 8435569939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Comprehensive Dentistry For Adults Inc 1470 Tobias Gadson Blvd Suite 100b Charleston SC 29407-4707 Ph: (843) 556-9939 | Comprehensive Dentistry For Adults Inc 1470 Tobias Gadson Blvd Suite 100b Charleston SC 29407-4707 Ph: (843) 556-9939 |
NPI Number | 1508280991 |
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Provider Enumeration Date | 02/06/2014 |
Last Update Date | 02/06/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508280991 | NPI | - | NPPES |
ZA9834 | Medicaid | SC | |
1679883524 | Other | SC | GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3382 (South Carolina) | Primary |
122300000X | Dentist | 6898 (South Carolina) | Secondary |
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