Provider Demographics
NPI:1518142876
Name:PATON & WEHMAN, LLC
Entity Type:Organization
Organization Name:PATON & WEHMAN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:POLLY
Authorized Official - Middle Name:E
Authorized Official - Last Name:PATON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:803-783-9900
Mailing Address - Street 1:1320 ELMTREE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-2614
Mailing Address - Country:US
Mailing Address - Phone:803-783-9900
Mailing Address - Fax:803-783-2242
Practice Address - Street 1:1320 ELMTREE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-2614
Practice Address - Country:US
Practice Address - Phone:803-783-9900
Practice Address - Fax:803-783-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC29681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZ29686Medicaid
SCZX3897Medicaid