Organization
SEA ISLAND DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE JAY FARNSWORTH D.M.D. (OWNER/PRESIDENT)
(843) 986-0157
Entity
Organization
Contact information
Practice address
102 SEA ISLAND PKWY, SUITE J, BEAUFORT, SC 29907-1563
(843) 986-0157
(843) 379-0157
Mailing address
102 SEA ISLAND PKWY, SUITE J, BEAUFORT, SC 29907-1563
(843) 986-0157
(843) 379-0157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3813
SC
Other
Enumeration date
12/18/2009
Last updated
05/14/2012
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