Healthcare Provider Details

I. General information

NPI: 1710956636
Provider Name (Legal Business Name): JAMES STEVEN DENTON PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1076 RIBAUT RD
BEAUFORT SC
29902-5476
US

IV. Provider business mailing address

6 PLEASANT PLACE CT
BEAUFORT SC
29907-1187
US

V. Phone/Fax

Practice location:
  • Phone: 843-521-1970
  • Fax: 843-521-0908
Mailing address:
  • Phone: 843-521-4898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number3449
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: