Organization
ENDODONTIC ASSOCIATES OF CHARLESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON CHANDLER (OWNER)
(843) 793-1177
Entity
Organization
Contact information
Practice address
349 FOLLY RD STE 1C, CHARLESTON, SC 29412-2508
(843) 793-1177
Mailing address
349 FOLLY RD STE 1C, CHARLESTON, SC 29412-2508
(843) 793-1177
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4433
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4433
—
SC
Enumeration date
07/23/2012
Last updated
07/23/2012
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