# CHARLOTTE C. WIEDENMAN, DMD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Downtown Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154941169
- **Authorized official:** CHARLOTTE COLLINS WIEDENMAN DMD (OWNER)
- **Authorized official phone:** (803) 522-1878

## Contact information

- **Practice address:** 129 FAUBURG ST SW, AIKEN, SC 29801-3805
- **Practice address phone:** (803) 649-0430
- **Mailing address:** 129 FAUBURG ST SW, AIKEN, SC 29801-3805
- **Mailing address phone:** (803) 649-0430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2020
- **Last updated:** 12/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 17697 | — | SC |
| 05 | — | ZX3844 | — | SC |