Individual
DR. JAMES H SEXTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4416 WANDO FARMS RD, AWENDAW, SC 29429-6143
(843) 817-7417
Mailing address
4416 WANDO FARMS RD, AWENDAW, SC 29429-6143
(843) 817-7417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1963
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550838953
FEDERAL TAX ID
—
05
—
Z19631
—
SC
Enumeration date
05/24/2005
Last updated
07/25/2013
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