Individual
JARED M WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
202 3RD ST E, HAMPTON, SC 29924-2512
(803) 943-2191
Mailing address
1083 DANNER DR, OKATIE, SC 29909-6321
(831) 801-6594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11334
SC
1223G0001X
General Practice Dentistry
Primary
7818
NV
Other
Enumeration date
04/27/2023
Last updated
04/22/2026
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