Individual
DR. JOHN CAIN COSBY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7346 PARKLANE RD, COLUMBIA, SC 29223-7616
(803) 788-6691
(803) 765-8570
Mailing address
745 UNIVERSITY VILLAGE DRIVE, BLYTHEWOOD, SC 29016-0969
(803) 754-9160
(803) 754-9162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1677
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9875
—
SC
Enumeration date
10/13/2006
Last updated
07/08/2007
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