Individual
BENJAMIN ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.S.
Contact information
Practice address
4400 DORCHESTER RD, NORTH CHARLESTON, SC 29405-6849
(843) 590-3054
Mailing address
4400 DORCHESTER RD, NORTH CHARLESTON, SC 29405-6849
(843) 590-3054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
060991
NY
122300000X
Dentist
10297
SC
122300000X
Dentist
10380
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10480
SC
Other
Enumeration date
06/02/2016
Last updated
05/18/2023
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