Organization
COMPREHENSIVE DENTISTRY FOR ADULTS INC
Active
Parent organization
17131
Other names
Comprehensive Dentistry for Adults
Organization subpart
Yes
Provider details
NPI number
Legal business name
17131
Authorized official
JAMES C LESCH DDS (DENTIST/ OWNER)
(843) 556-9939
Entity
Organization
Contact information
Practice address
1470 TOBIAS GADSON BLVD, SUITE 100B, CHARLESTON, SC 29407-4707
(843) 556-9939
(843) 769-6625
Mailing address
1470 TOBIAS GADSON BLVD, SUITE 100B, CHARLESTON, SC 29407-4707
(843) 556-9939
(843) 769-6625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3382
SC
122300000X
Dentist
6898
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679883524
GROUP NPI
SC
05
—
ZA9834
—
SC
Enumeration date
02/06/2014
Last updated
02/06/2014
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