Organization
CAROLINA ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JAY GOHEAN DMD (PRESIDENT)
(803) 798-8476
Entity
Organization
Contact information
Practice address
130 STONEMARK LANE, COLUMBIA, SC 29210-3841
(803) 798-8476
(803) 798-6451
Mailing address
130 STONEMARK LANE, COLUMBIA, SC 29210-3841
(803) 798-8476
(803) 798-6451
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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