Organization
ROEBUCK FAMILY DENTISTRY
Active
Other names
Roebuck Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KAYNE LEVER (OWNER)
(864) 576-0870
Entity
Organization
Contact information
Practice address
2001 E BLACKSTOCK RD, SUITE 200, ROEBUCK, SC 29376-2734
(864) 576-0870
(864) 574-6628
Mailing address
PO BOX 1117, ROEBUCK, SC 29376-1117
(864) 576-0870
(864) 574-6628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3548
SC
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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