Whalio Doctors

NPI 1003780966

Keasha Martin

Practitioner Dental Hygienist Shaw Afb, SC

Practice location

Address
449 Meadowlark St, Shaw Afb, SC 29152
Phone
(803) 895-6988
Mailing address
449 Meadowlark, Bldg 1046, Shaw Afb, SC 29152

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence DH34302 (FL)

Registry record

NPI
1003780966
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Oct 2025
Record last updated
2 Oct 2025

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.