Organization
AMMONS DENTAL BY DESIGN - WENTWORTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM AMMONS D.M.D. (OWNER)
(843) 577-2898
Entity
Organization
Contact information
Practice address
159 WENTWORTH ST, CHARLESTON, SC 29401-1731
(843) 577-2898
(843) 577-4464
Mailing address
159 WENTWORTH ST, CHARLESTON, SC 29401-1731
(843) 577-2898
(843) 577-4464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6938
SC
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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