Provider Demographics
NPI:1043575665
Name:ATCHESON DENTAL INC.
Entity Type:Organization
Organization Name:ATCHESON DENTAL INC.
Other - Org Name:ATCHESON DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ATCHESON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:864-868-0058
Mailing Address - Street 1:2548 NORRIS HWY
Mailing Address - Street 2:
Mailing Address - City:SIX MILE
Mailing Address - State:SC
Mailing Address - Zip Code:29682
Mailing Address - Country:US
Mailing Address - Phone:864-868-0058
Mailing Address - Fax:
Practice Address - Street 1:2548 NORRIS HWY
Practice Address - Street 2:
Practice Address - City:SIX MILE
Practice Address - State:SC
Practice Address - Zip Code:29682
Practice Address - Country:US
Practice Address - Phone:864-868-0058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC70571223G0001X
SC43221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty