Provider Demographics
NPI:1457416232
Name:STODDART, JANET ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:ANN
Last Name:STODDART
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 N OKATIE HWY, P.O. BOX 357
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29936
Mailing Address - Country:US
Mailing Address - Phone:843-987-7400
Mailing Address - Fax:843-987-7473
Practice Address - Street 1:BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES
Practice Address - Street 2:721 N OKATIE HWY, 357
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936
Practice Address - Country:US
Practice Address - Phone:843-987-7400
Practice Address - Fax:843-987-3104
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN4672122300000X
NY046540122300000X
VA0401416987122300000X
SC9983122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist