776 Saint Andrews Blvd Dental Office LLC
Organization Active NPI Dentist · Charleston, SC
NPI 1114548005 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1114548005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- 776 SAINT ANDREWS BLVD DENTAL OFFICE LLC
- Practice address
- 776 Saint Andrews Blvd
Charleston, SC 29407-7348 - Phone
- (843) 769-4600
- NPI assigned
- May 1, 2020
- Organization subpart
- No
Authorized official
- Name
- David Herbert Seay
- Title
- Business Manager
- Phone
- (843) 364-6720
Practitioners 1
-
Lauren Bullwinkel Davis, D.M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
776 Saint Andrews Blvd
Charleston, SC 29407-7348
Mailing address
776 Saint Andrews Blvd
Charleston, SC 29407-7348
Phone (843) 769-4600
Other names
- Expertise Dental
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.