Whalio Doctors

NPI 1528705894

Anna Marie Captain, DDS

Practitioner Dentist Shaw Afb, SC

Practice location

Address
449 Meadowlark St, Shaw Afb, SC 29152-5020
Phone
(803) 895-6988

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence D14740 (MN)

Registry record

NPI
1528705894
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 May 2022
Record last updated
9 Jan 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.