Provider Demographics
NPI:1427254242
Name:SENG, NATHAN CHRISTOPHER (DDS)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:CHRISTOPHER
Last Name:SENG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 OAK TREE LN
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-9416
Mailing Address - Country:US
Mailing Address - Phone:812-827-9317
Mailing Address - Fax:
Practice Address - Street 1:29 BEE STREET
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403
Practice Address - Country:US
Practice Address - Phone:843-228-5196
Practice Address - Fax:843-228-5196
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013584122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist