NPI 1598088312

Wentworth Street Dental Associates, INC

Organisation Health Maintenance Organization Charleston, SC

Practice location

Address: 159 Wentworth St, Charleston, SC 29401-6715
Phone: (843) 577-2898
Fax: (843) 577-4464

Authorised official

Name: Rogers Conyers Reeves
Title: C.E.O.
Phone: (843) 577-2898

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 1547 (SC)

Other Health Maintenance Organization providers in South Carolina →

Registry record

NPI: 1598088312
Entity type: Organization
NPI issued: 8 Mar 2010
Record last updated: 8 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.