# LOWCOUNTRY CHILDREN'S GENERAL ANESTHESIA DENTISTRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972417673
- **Authorized official:** JEFFREY WHEELER (CEO)
- **Authorized official phone:** (301) 494-3000

## Contact information

- **Practice address:** 1858 REMOUNT RD, CHARLESTON, SC 29406-3270
- **Practice address phone:** (301) 494-3000
- **Mailing address:** 1220 CARAWAY CT STE 1050, UPPER MARLBORO, MD 20774-5338
- **Mailing address phone:** (301) 494-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2026
- **Last updated:** 09/30/2026