| Sea Island Dentistry, P.c. | |
|
102 Sea Island Pkwy Suite J Beaufort SC 29907-1563 | |
| (843) 986-0157 | |
| (843) 379-0157 |
| Full Name | Sea Island Dentistry, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 102 Sea Island Pkwy, Beaufort, South Carolina |
| Authorized Official Name and Position | Kyle Jay Farnsworth (OWNER/PRESIDENT) |
| Authorized Official Contact | 8439860157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Island Dentistry, P.c. 102 Sea Island Pkwy Suite J Beaufort SC 29907-1563 Ph: (843) 986-0157 | Sea Island Dentistry, P.c. 102 Sea Island Pkwy Suite J Beaufort SC 29907-1563 Ph: (843) 986-0157 |
| NPI Number | 1871822957 |
|---|---|
| Provider Enumeration Date | 12/18/2009 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871822957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3813 (South Carolina) | Primary |
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