| Peninsula Dentistry Wappoo Llc | |
|
839 Wappoo Rd Charleston SC 29407-5866 | |
| (843) 556-4746 | |
| Not Available |
| Full Name | Peninsula Dentistry Wappoo Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 839 Wappoo Rd, Charleston, South Carolina |
| Authorized Official Name and Position | James Wisner (OWNER/DENTIST) |
| Authorized Official Contact | 8434605206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Dentistry Wappoo Llc 839 Wappoo Rd Charleston SC 29407-5866 Ph: (843) 556-4746 | Peninsula Dentistry Wappoo Llc 839 Wappoo Rd Charleston SC 29407-5866 Ph: (843) 556-4746 |
| NPI Number | 1376306878 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376306878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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