Richard Joseph Albenesius, DMD
Individual provider Active NPI General Practice Dentistry · Charleston, SC
NPI 1164599940 · NPPES record last updated Nov 10, 2016
Key facts
- NPI
- 1164599940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2556 (SC)
- Practice address
- 173 Ashley Ave # Bsb124
Charleston, SC 29425-4826 - Phone
- (843) 792-2103
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2556 | SC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2556 | SC | Yes |
Addresses
Primary practice location
173 Ashley Ave # Bsb124
Charleston, SC 29425-4826
Mailing address
173 Ashley Ave # Bsb349
Charleston, SC 29425-4826
Phone (843) 792-2103
Other providers in Charleston, SC
- Tammam Mohammed N Alanazi
- Karlie Albach
- Philip Anton Albaneze
- Jennette Albayalde
- David Lawrence Albenberg
- William Greer Albergotti III
- Camilo Jose Albert Fernandez
- Keith Andrew Albert
- John Alberti
- Fahad Aldawsari
All providers in Charleston, SC · General Practice Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2016. 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.