Organization
JUSTUS DENTAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATHONIA BENNETT DDS (DENTIST)
(912) 996-3303
Entity
Organization
Contact information
Practice address
137 BROUGHTON AVE, ANDREWS, SC 29510-5583
(912) 996-3303
(866) 379-9998
Mailing address
PO BOX 1010, KINGSTREE, SC 29556-1010
(912) 996-3303
(866) 379-9998
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
11/29/2022
Last updated
05/18/2025
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