Provider Demographics
NPI:1841554441
Name:DENTAL HOLDINGS PC
Entity type:Organization
Organization Name:DENTAL HOLDINGS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEAD OF DENTAL OPERATIONS
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:LAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:843-614-6747
Mailing Address - Street 1:3527 MARY ADER AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5862
Mailing Address - Country:US
Mailing Address - Phone:843-735-6727
Mailing Address - Fax:866-345-3754
Practice Address - Street 1:2020 SAVANNAH HWY
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6286
Practice Address - Country:US
Practice Address - Phone:843-614-6747
Practice Address - Fax:866-345-3754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-27
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty