|
| |
|
4 Okatie Center Blvd South Suite 103 Okatie SC 29909 | |
| (843) 705-9551 | |
| (843) 705-9552 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 Okatie Center Blvd South, Okatie, South Carolina |
| Authorized Official Name and Position | Christopher H Wine (OWNER) |
| Authorized Official Contact | 8437059551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4 Okatie Center Blvd South Suite 103 Okatie SC 29909 Ph: (843) 705-9551 | 4 Okatie Center Blvd South Suite 103 Okatie SC 29909 Ph: (843) 705-9551 |
| NPI Number | 1417127028 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417127028 | NPI | - | NPPES |
Harbor Point Dentistry, Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 40 Okatie Center Blvd S Ste 302, Okatie, SC 29909 Phone: 843-706-9662 | |
Vdp Okatie Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 William Pope Drive, Suite #2, Okatie, SC 29909 Phone: 843-705-7066 |