| Aspen Dental | |
|
2051 Sam Rittenberg Blvd Ste A Charleston SC 29407-4620 | |
| (843) 779-6844 | |
| Not Available |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2051 Sam Rittenberg Blvd, Charleston, South Carolina |
| Authorized Official Name and Position | Jebediah S Christy (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 2051 Sam Rittenberg Blvd Ste A Charleston SC 29407-4620 Ph: (843) 779-6844 |
| NPI Number | 1952851396 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952851396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8613 (South Carolina) | Primary |
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