Individual
MR. JAY SCOTT WOOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
591 BROWNS COVE RD, UNIT A, RIDGELAND, SC 29936-7280
(843) 645-7844
(843) 645-7846
Mailing address
591 BROWNS COVE RD STE A, RIDGELAND, SC 29936-7281
(843) 645-7844
(843) 645-7846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03360
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912917733
SOUTH CAROLINA
SC
Enumeration date
08/08/2006
Last updated
02/23/2016
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