| Live Oak Aesthetic & Family Dentistry | |
|
2545 Tahoe Dr Sumter SC 29150-1861 | |
| (803) 905-6700 | |
| (803) 905-6703 |
| Full Name | Live Oak Aesthetic & Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2545 Tahoe Dr, Sumter, South Carolina |
| Authorized Official Name and Position | Timothy Edward Garrity (PRESIDENT) |
| Authorized Official Contact | 8039056700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Oak Aesthetic & Family Dentistry 2545 Tahoe Dr Sumter SC 29150-1861 Ph: (803) 905-6700 | Live Oak Aesthetic & Family Dentistry 2545 Tahoe Dr Sumter SC 29150-1861 Ph: (803) 905-6700 |
| NPI Number | 1255676805 |
|---|---|
| Provider Enumeration Date | 12/10/2012 |
| Last Update Date | 12/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255676805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3803 (South Carolina) | Primary |
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