Organization
DAVIS AND WINE DENTAL ASSOCIATES, LLC
Active
Other names
Termotto & Davis Dental Practice, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER H WINE D.D.S., MS (OWNER)
(843) 705-9551
Entity
Organization
Contact information
Practice address
4 OKATIE CENTER BLVD SOUTH, SUITE 103, OKATIE, SC 29909
(843) 705-9551
(843) 705-9552
Mailing address
4 OKATIE CENTER BLVD SOUTH, SUITE 103, OKATIE, SC 29909
(843) 705-9551
(843) 705-9552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1717
SC
1223G0001X
General Practice Dentistry
4583
SC
1223G0001X
General Practice Dentistry
8091
GA
1223G0001X
General Practice Dentistry
Primary
—
GA
1223G0001X
General Practice Dentistry
—
SC
1223P0300X
Periodontics
—
GA
1223P0300X
Periodontics
—
SC
1223P0700X
Prosthodontics
4182
SC
1223P0700X
Prosthodontics
4676
SC
1223P0700X
Prosthodontics
DN013298
GA
1223P0700X
Prosthodontics
DN015271
GA
1223P0700X
Prosthodontics
—
GA
1223P0700X
Prosthodontics
—
SC
Other
Enumeration date
03/11/2008
Last updated
03/13/2018
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