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DR. JAMES H SEXTON DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1205839289
Individual Registrant:DR. JAMES H SEXTON DMD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
4416 WANDO FARMS RD AWENDAW, SC 29429-6143 US
Tel: 843-817-7417 Fax: --
Tel: 843-817-7417 Fax: --
Contact information for business:
4416 WANDO FARMS RD AWENDAW, SC 29429-6143 US
Tel: 843-817-7417 Fax: --
Tel: 843-817-7417 Fax: --
Registration Information:
NPI: 1205839289
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | SC | 1963 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| FEDERAL TAX ID | 550838953 | 01 | |
| Z19631 | SC | 05 |
