CHARLESTON ORAL MEDICINE, LLC
NPI 1346925781
Clinic/Center - Dental in Ladson, SC
Active since June 21, 2023
About Charleston Oral Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLESTON ORAL MEDICINE, LLC (NPI 1346925781) is a healthcare organization registered as a dental in Ladson, South Carolina and active in the NPI registry since June 2023. The organization lists Lynda Tyler, Controller, as its authorized official.
NPPES Registry Identity
NPI1346925781
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCHARLESTON ORAL MEDICINE, LLC
Location Address3700 INGLESIDE BLVD STE 101Ladson, SC 29456-4141
Mailing Address3700 Ingleside Blvd Ste 101Ladson, SC 29456-4141 · (843) 762-9028
Phone(843) 762-9028
Organization SubpartNo
Authorized OfficialLynda TylerController · (843) 974-5236
Enumeration DateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1346925781 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3700 INGLESIDE BLVD STE 101, Ladson, SC 29456
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346925781, enumerated as an "organization" on June 21, 2023.
The provider is located at 3700 INGLESIDE BLVD STE 101 LADSON, SC 29456 and the phone number is (843) 762-9028.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
