Organization
FAMILY DENTISTRY JARED P. TAVERNIER DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED PRESTON TAVERNIER D.M.D. (PRINCIPAL)
(864) 934-3637
Entity
Organization
Contact information
Practice address
321 N CAMBRIDGE ST, NINETY SIX, SC 29666-1012
(864) 543-4109
(864) 543-3246
Mailing address
321 N CAMBRIDGE ST, NINETY SIX, SC 29666-1012
(864) 543-4109
(864) 543-3246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8591
SC
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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