Organization
KING & WIGGINS, D.M.D., P.A.
Active
Other names
Charleston Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH T. KING D.M.D. (PRESIDENT)
(843) 569-1717
Entity
Organization
Contact information
Practice address
2170 ASHLEY PHOSPHATE RD., SUITE 600, NORTH CHARLESTON, SC 29406-4194
(843) 569-1717
(843) 569-6139
Mailing address
2170 ASHLEY PHOSPHATE RD., SUITE 600, NORTH CHARLESTON, SC 29406-4194
(843) 569-1717
(843) 569-6139
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2663
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z26632
—
SC
Enumeration date
04/10/2007
Last updated
08/22/2020
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