| Family Dentistry Jared P. Tavernier Dmd, Pa | |
|
321 N Cambridge St Ninety Six SC 29666-1012 | |
| (864) 543-4109 | |
| (864) 543-3246 |
| Full Name | Family Dentistry Jared P. Tavernier Dmd, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 321 N Cambridge St, Ninety Six, South Carolina |
| Authorized Official Name and Position | Jared Preston Tavernier (PRINCIPAL) |
| Authorized Official Contact | 8649343637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Jared P. Tavernier Dmd, Pa 321 N Cambridge St Ninety Six SC 29666-1012 Ph: (864) 543-4109 | Family Dentistry Jared P. Tavernier Dmd, Pa 321 N Cambridge St Ninety Six SC 29666-1012 Ph: (864) 543-4109 |
| NPI Number | 1477936458 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477936458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8591 (South Carolina) | Primary |
Andrew C Owings Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 N Cambridge Street, Ninety Six, SC 29666 Phone: 864-543-4109 Fax: 864-549-3246 |