Individual
PAYTEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
29 BEE ST, CHARLESTON, SC 29425-0001
(843) 876-7645
Mailing address
59 RIDGE RD, LYMAN, SC 29365-1710
(864) 316-7768
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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