Organization
PLANTATION POINTE DENTISTRY,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WADE (PRESIDENT)
(803) 286-6533
Entity
Organization
Contact information
Practice address
1025 W MEETING ST, SUITE 100, LANCASTER, SC 29720-2204
(803) 286-6533
Mailing address
1025 W MEETING ST, SUITE 100, LANCASTER, SC 29720-2204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2606
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871604801
PROVIDER
SC
Enumeration date
05/07/2007
Last updated
08/22/2020
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