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Organization
JUSTUS DENTAL, HEALTH AND WELLNESS
Active
Organization
JUSTUS DENTAL, HEALTH AND WELLNESS
Active
Parent organization
JUSTUS COMMUNITY PERPETUALIZATION PROJECT
Organization subpart
Yes
Provider details
NPI number
Legal business name
JUSTUS COMMUNITY PERPETUALIZATION PROJECT
Authorized official
DR. LATHONIA BENNETT DDS (DIRECTOR)
(912) 996-3303
Entity
Organization
Contact information
Practice address
3924 US HIGHWAY 521, ANDREWS, SC 29510-5706
(843) 800-0087
Mailing address
PO BOX 1010, KINGSTREE, SC 29556-1010
(912) 996-3303
(866) 379-9998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
171400000X
Health & Wellness Coach
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
292200000X
Dental Laboratory
—
NULL
332900000X
Non-Pharmacy Dispensing Site
—
NULL
Other
Enumeration date
11/20/2023
Last updated
05/28/2025
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