Individual
MR. GROVER EDENS RABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
669B WEST WESMARK BLVD, SUMTER, SC 29150
(803) 905-3567
(803) 905-3507
Mailing address
669B WEST WESMARK BLVD, SUMTER, SC 29150
(803) 905-3567
(803) 905-3507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3460
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3460
—
SC
Enumeration date
12/28/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us