Individual
DR. RAYMOND CARY BOCKLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
1845 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 556-2133
(843) 556-2199
Mailing address
1845 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 556-2133
(843) 556-2199
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3154 SPECIALTY 0443
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571027125
DENTAL INSURANCE
SC
01
—
841807
MILITARY INSURANCE
SC
Enumeration date
01/17/2007
Last updated
09/09/2022
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