National Provider Identifier Database

SOUTHEAST ENDODONTICS PC
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

SOUTHEAST ENDODONTICS, PC
10 FARMFIELD AVE
CHARLESTON, SC29407-7756
Phone: 843-766-0112
Fax: 843-766-0884
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for SOUTHEAST ENDODONTICS, PC

NPI Number 1902019722
Legal business name
LBN
SOUTHEAST ENDODONTICS, PC
Authorized official WALTER LONG - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/08/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 3707

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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