Individual
ROBERT BENJAMIN SNIPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
410 S MAIN ST, MULLINS, SC 29574-3114
(843) 464-2099
Mailing address
1866 HAYMOUNT RD, LATTA, SC 29565-4091
(843) 632-0625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9896
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639209133
OFFICE NPI NUMBER
SC
Enumeration date
05/27/2021
Last updated
06/03/2021
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