Organization
ROGER M. HARRIS III DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER MARVIN HARRIS III III DMD (DENTIST/OWNER)
(864) 877-9111
Entity
Organization
Contact information
Practice address
920 S. BATESVILLE ROAD, GREER, SC 29650-4524
(864) 877-9111
(864) 877-9195
Mailing address
920 S. BATESVILLE ROAD, GREER, SC 29650-4524
(864) 877-9111
(864) 877-9195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3557
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
449325
UNITED CONCORDIA
—
05
—
ZA9725
—
SC
Enumeration date
08/29/2006
Last updated
01/20/2011
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