Live Oak Aesthetic & Family Dentistry
NPI #1255676805 in Sumter, South Carolina
Provider Information
- NPI Number
- 1255676805
- Entity Type
- Organization
- Organization Name
- Live Oak Aesthetic & Family Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 10, 2012
- Last Updated
- Dec 21, 2012
Practice Location
- Address
- 2545 TAHOE DR
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-1861
- Phone
- (803) 905-6700
Authorized Official
- Name
- DR. TIMOTHY EDWARD GARRITY, DMD
- Title
- PRESIDENT
- Phone
- (803) 905-6700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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