Davis And Wine Dental Associates, Llc is a dental clinic (Dentist - General Practice) in Okatie, South Carolina. The current practice location for Davis And Wine Dental Associates, Llc is 4 Okatie Center Blvd South, Suite 103, Okatie, South Carolina. For appointments, you can reach them via phone at
(843) 705-9551. The mailing address for Davis And Wine Dental Associates, Llc is 4 Okatie Center Blvd South, Suite 103, Okatie, South Carolina and phone number is (843) 705-9551.
Davis And Wine Dental Associates, Llc is licensed to practice in Georgia (license number ) and its
NPI number is 1417127028. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(843) 705-9551.
Dental Care Clinic Profile
| Full Name | Davis And Wine Dental Associates, Llc |
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| Speciality | Dentist - General Practice |
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| Location | 4 Okatie Center Blvd South, Okatie, South Carolina |
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| Authorized Official Name and Position | Christopher H Wine (OWNER) |
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| Authorized Official Contact | 8437059551 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Davis And Wine Dental Associates, Llc
4 Okatie Center Blvd South
Suite 103
Okatie
SC 29909
Ph: (843) 705-9551 | Davis And Wine Dental Associates, Llc
4 Okatie Center Blvd South
Suite 103
Okatie
SC 29909
Ph: (843) 705-9551 |
NPI Details:
| NPI Number | 1417127028 |
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| Provider Enumeration Date | 03/11/2008 |
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| Last Update Date | 03/13/2018 |
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Medical Identifiers
Medical identifiers for Davis And Wine Dental Associates, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417127028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 8091 (Georgia) | Secondary |
| 1223G0001X | Dentist - General Practice | 1717 (South Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 4583 (South Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | (South Carolina) | Secondary |
| 1223P0300X | Dentist - Periodontics | (Georgia) | Secondary |
| 1223P0300X | Dentist - Periodontics | (South Carolina) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 4182 (South Carolina) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | DN013298 (Georgia) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 4676 (South Carolina) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | DN015271 (Georgia) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (Georgia) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (South Carolina) | Secondary |
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