Individual
DR. ROY LEE FAULKS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
3527 BUSH RIVER RD, COLUMBIA, SC 29210-4805
(803) 798-0894
Mailing address
3527 BUSH RIVER RD, COLUMBIA, SC 29210-4805
(803) 798-0894
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11148
SC
Other
Enumeration date
04/21/2021
Last updated
07/20/2025
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