Wentworth Street Dental Associates, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

1547 Issued in SC

Legal business name

WENTWORTH STREET DENTAL ASSOCIATES, INC

Practice address

159 Wentworth St
Charleston, SC 29401-6715

Phone

(843) 577-2898

Fax

(843) 577-4464

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rogers Conyers Reeves, D.M.D.

Title

C.E.O.

Phone

(843) 577-2898

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1598088312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 WENTWORTH ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294016715",
            "telephone_number": "843-577-2898",
            "fax_number": "843-577-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WENTWORTH ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294016715",
            "telephone_number": "843-577-2898",
            "fax_number": "843-577-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTWORTH STREET DENTAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "ROGERS",
        "authorized_official_middle_name": "CONYERS",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "843-577-2898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "SC",
            "license": "1547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Welsh, DNP, AGACNP-BC
• Wendell S Johnson Dentistry Associates PA
• Wendi Norris LLC
• Karen S Wendorf, CRNA
• Nolan Patrick Wengert, DO
• Eric Joseph Wenzinger
• Kendra Werden
• Devon Brooke Werner
• Kathryn Wershing, DO
• Thomas Edward Werth

• Health Maintenance Organization in Charleston, SC
• Providers in Charleston, SC by specialty
• Health Maintenance Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.