Provider Demographics
NPI:1912426743
Name:AFFORDABLE DENTURES & IMPLANTS - ANDERSON, P.C.
Entity Type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - ANDERSON, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LOHSE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:864-224-8106
Mailing Address - Street 1:3004 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2761
Mailing Address - Country:US
Mailing Address - Phone:864-224-8106
Mailing Address - Fax:
Practice Address - Street 1:3004 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2761
Practice Address - Country:US
Practice Address - Phone:864-224-8106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty