Provider Demographics
NPI:1841210465
Name:GARNETT, S TAYLOR (DDS)
Entity Type:Individual
Prefix:
First Name:S
Middle Name:TAYLOR
Last Name:GARNETT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
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:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice