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
—
—
171400000X
Health & Wellness Coach
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QR1300X
Rural Health Clinic/Center
—
—
292200000X
Dental Laboratory
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
11/20/2023
Last updated
05/28/2025
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