Organization · Type 2 NPI

Children's Dental Clinic of Charleston, LLC

Nurse Practitioner · North Charleston, SC

NPI number 1730467978 Active

Practice location

6035 Rivers Ave Ste A
North Charleston, SC 29406-5018

Call (843) 572-9909 Map

Fax (843) 572-9901

Mailing address

618 Church St, Suite 520
Nashville, TN 37219-2428

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	N/A

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

4 other providers at this address

Other nurse practitioner providers in North Charleston

South Carolina PHS PCNurse Practitioner North Charleston, SC NPI 1821394438

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NPI record

NPI: 1730467978
Entity type: Organization (Type 2)
Issued: Jul 21, 2011
Last updated: Jul 21, 2011
Status: Active
Subpart: Yes of Children's Dental Clinic of Charleston, LLC

Other names

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Children's Wellness Clinic · doing business as

Authorized official

Mrs. Jeanean S. Foster
Director, Licensing & Credentialing
(615) 750-0342

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730467978

Children's Dental Clinic of Charleston, LLC's National Provider Identifier is 1730467978, issued on Jul 21, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in North Charleston, SC. The record was last updated on Jul 21, 2011.