Provider Demographics
NPI:1699943795
Name:WEST ASHLEY DENTAL ASSOICIATES
Entity type:Organization
Organization Name:WEST ASHLEY DENTAL ASSOICIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:TOPOREK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,
Authorized Official - Phone:843-763-3367
Mailing Address - Street 1:1916 ASHLEY RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-4713
Mailing Address - Country:US
Mailing Address - Phone:843-763-3367
Mailing Address - Fax:
Practice Address - Street 1:1916 ASHLEY RIVER RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-4713
Practice Address - Country:US
Practice Address - Phone:843-763-3367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental