# LYMAN DENTAL ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawrence G. Miller Jr DMD PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538379086
- **Authorized official:** LAWRENCE GARY MILLER JR. DMD (PRESIDENT)
- **Authorized official phone:** (864) 439-1240

## Contact information

- **Practice address:** 301 OLD SPARTANBURG RD., LYMAN, SC 29365
- **Practice address phone:** (864) 439-1240
- **Practice address fax:** (864) 439-1241
- **Mailing address:** 301 OLD SPARTANBURG RD., LYMAN, SC 29365
- **Mailing address phone:** (864) 439-1240
- **Mailing address fax:** (864) 439-1241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1309 | SC | — |
| 1223G0001X | General Practice Dentistry | 4109 | SC | Yes |
| 1223G0001X | General Practice Dentistry | 4500 | SC | — |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/01/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZA9506 | — | SC |
