Individual
GARY A BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
625 CONSTITUTION DR, SUMTER, SC 29154-8190
(803) 773-5413
Mailing address
625 CONSTITUTION DR, SUMTER, SC 29154-8190
(803) 773-5413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7110
SC
Other
Enumeration date
03/12/2012
Last updated
04/18/2016
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