Individual
DR. LANCE CAMERON FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1405 BRUSHY CREEK RD, TAYLORS, SC 29687-4008
(864) 284-9466
Mailing address
110 VILLA RD, GREENVILLE, SC 29615-3010
(864) 282-1935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3659
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
717
SC
Other
Enumeration date
04/18/2007
Last updated
09/27/2013
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