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WESTSIDE DENTAL ASSOCIATES P.C. NPI 1417623844


NPI Information

NPI: 1417623844
Provider Name: WESTSIDE DENTAL ASSOCIATES, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1812 WALLACE SCHOOL RD STE 400
CHARLESTON, SC
ZIP 29407
Phone: (843) 571-4411
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WESTSIDE DENTAL ASSOCIATES, P.C. is a general practice dentist in Charleston, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WESTSIDE DENTAL ASSOCIATES, P.C. NPI is 1417623844. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1812 WALLACE SCHOOL RD STE 400
CHARLESTON, SC
ZIP 29407-517
Phone: (843) 571-4411

The provider's authorized official is Ben Cutler .
The authorized official title is Secretary and has the following contact phone number (607) 743-9474.

The enumeration date for this NPI number is 8/17/2021 and was last updated on 8/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223P0300XDentistPeriodonticsNo
41223X0008XDentistOral and Maxillofacial RadiologyNo
51223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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