Provider Demographics
NPI:1871787317
Name:S TAYLOR GARNETT DDS
Entity type:Organization
Organization Name:S TAYLOR GARNETT DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:S
Authorized Official - Middle Name:TAYLOR
Authorized Official - Last Name:GARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:803-648-3251
Mailing Address - Street 1:121 GREENVILLE ST SW
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-3810
Mailing Address - Country:US
Mailing Address - Phone:803-648-3251
Mailing Address - Fax:803-648-3252
Practice Address - Street 1:121 GREENVILLE ST SW
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3810
Practice Address - Country:US
Practice Address - Phone:803-648-3251
Practice Address - Fax:803-648-3252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty