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PENINSULA COSMETIC AND FAMILY DENTISTRY, INC.
NPI 1255938320
Durable Medical Equipment & Medical Supplies in Charleston, SC

Active since October 02, 2020
538 SAVANNAH HWY, CHARLESTON, SC 29407(843) 722-1676 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 13, 2020, Oct 2, 2020 (2 updates tracked since 2020).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Durable Medical Equipment & Medical Supp...

About PENINSULA COSMETIC AND FAMILY DENTISTRY, INC.

This page provides the complete NPI Profile along with additional information for Peninsula Cosmetic And Family Dentistry, Inc., a provider established in Charleston, South Carolina operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1255938320 assigned on October 2020. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. James Bradley Wisner Dmd (Owner/dentist)

NPI
1255938320 Verify this NPI
Provider Name
PENINSULA COSMETIC AND FAMILY DENTISTRY, INC.
Entity Type
Organization
Location Address
538 SAVANNAH HWY CHARLESTON, SC 29407
Location Phone
(843) 722-1676
Mailing Address
538 SAVANNAH HWY CHARLESTON, SC 29407
Mailing Phone
(843) 722-1676
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2020
Last Update Date
10-13-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAMES BRADLEY WISNER DMD

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(843) 722-1676

Reviews for PENINSULA COSMETIC AND FAMILY DENTISTRY, INC.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. LUKE ELLINGTON SEVERANCE DMD
Dentist (General Practice)
538 SAVANNAH HWY
CHARLESTON, SC 29407
Charleston County (843) 722-1676

Frequently Asked Questions

What is PENINSULA COSMETIC AND FAMILY DENTISTRY, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1255938320, enumerated as an "organization" on October 02, 2020.

Where is the provider located?

The provider is located at 538 SAVANNAH HWY CHARLESTON, SC 29407 and the phone number is (843) 722-1676.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.