Jacob Avant

NPI 1891422713 · on the registry since 2022

Practice

Address: 2801 Wade Hampton Blvd Ste 120
Taylors, SC 29687
Phone: (864) 609-7306
Organisation at this address: Aqua Dental Corp
Compass Dental, Llc
Upstate Mobility Llc
Signature Smiles, Llc
Publix Super Markets Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina