Provider Demographics
NPI:1972269314
Name:WEBBER DENTISTRY ROCK HILL
Entity Type:Organization
Organization Name:WEBBER DENTISTRY ROCK HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:WOOLSTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:803-659-3899
Mailing Address - Street 1:775 ADDISON DR STE 111
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-7061
Mailing Address - Country:US
Mailing Address - Phone:803-659-3899
Mailing Address - Fax:
Practice Address - Street 1:775 ADDISON DR STE 111
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-7061
Practice Address - Country:US
Practice Address - Phone:803-659-3899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental