Organization
BEACHY DENTAL PI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WHEELER (OWNER)
(843) 860-3118
Entity
Organization
Contact information
Practice address
38 BLACKGUM RD UNIT G, PAWLEYS ISLAND, SC 29585-8495
(843) 314-3006
(843) 314-8037
Mailing address
38 BLACKGUM RD UNIT G, PAWLEYS ISLAND, SC 29585-8495
(843) 314-3006
(843) 314-8037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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