Individual
MR. ROGERS COLYER REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
159 WENTWORTH ST, CHARLESTON, SC 29401-1731
(843) 577-2898
(843) 577-4464
Mailing address
159 WENTWORTH ST, CHARLESTON, SC 29401-1731
(843) 577-2898
(843) 577-4464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1547
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
513026
UNITED CONCORDIA INS
—
Enumeration date
11/14/2005
Last updated
08/24/2010
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