Newsome Family Dentistry

NPI 1063551901 - Dentist - 122300000X

NPI Details
NPI 1063551901
Enumeration Date 02/06/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JARRETT R JARRETT
Position DENTIST
Phone (803) 254-2465
Fax (803) 254-3008
Practice Location
1701 SAINT JULIAN PL
SUITE 202
COLUMBIA SC, 29204-2418, US
Phone (803) 254-2465
Fax (803) 254-3008
Business Location
1701 SAINT JULIAN PL
SUITE 202
COLUMBIA SC, 29204-2418, US
Phone (803) 254-2465
Fax (803) 254-3008
Toxanomy
Taxonomy Code 122300000X
License State South Carolina
License Number 3642
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According to our database, Newsome Family Dentistry NPI is 1063551901, taxonomy code is 122300000X and license number is 3642, license state is located at South Carolina. Newsome Family Dentistry physically located at 1701 Saint Julian Pl, Columbia SC, 29204-2418. NPI Number 1033115704 has the healthcare provider type.

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1063551901 NPI number is provided on an as is basis without warranty of any kind. 1063551901 is maintained by the National Plan & Provider Enumeration System. The contents of Newsome Family Dentistry are for informational purposes only.