Justus Dental, Health and Wellness

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

JUSTUS DENTAL, HEALTH AND WELLNESS

Practice address

3924 US Highway 521
Andrews, SC 29510-5706

Phone

(843) 800-0087

NPI assigned

Nov 20, 2023

Last updated

May 28, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

JUSTUS COMMUNITY PERPETUALIZATION PROJECTAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lathonia Bennett, DDSNPI 1457474124

Title

Director

Phone

(912) 996-3303

Specialties & licenses 7

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lathonia Bennett, DDS

  • Dentist
  • Kingstree, SC
  • NPI 1457474124

  General Practice

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1275308207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1010",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295561010",
            "telephone_number": "912-996-3303",
            "fax_number": "866-379-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 US HIGHWAY 521",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295105706",
            "telephone_number": "843-800-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1148 Trio Rd",
            "address_purpose": "LOCATION",
            "city": "Andrews",
            "state": "SC",
            "postal_code": "29510",
            "country_code": "US",
            "telephone_number": "843-800-0087",
            "fax_number": "866-379-9998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUSTUS DENTAL, HEALTH AND WELLNESS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JUSTUS COMMUNITY PERPETUALIZATION PROJECT",
        "enumeration_date": "2023-11-20",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-18",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LATHONIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-996-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Douglas Henry, ATC, SCAT
• Terri Angelic1 Howard, PHARMD
• Bernard Lee Jones Jr., MD
• Charles Blanchard Jones, DMD
• Justus Dental Health and Wellness
• Laboratory Corporation of America Holdings
• Jessica Thigpen Legge, PHARMD
• Brenda Davis Lesesne, RPH
• Lindsay H. Moore, DMD PA (Gentle Dentistry)
• Love & Faith Health Foundation Inc (Love & Faith Health & Fitness)

• Community Health Clinic/Center in Andrews, SC
• Providers in Andrews, SC by specialty
• Community Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.