Individual
ROGER MARVIN HARRIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
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
—
ZX3557
—
SC
Enumeration date
08/15/2006
Last updated
01/20/2011
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