| Carolina Endodontics | |
|
130 Stonemark Lane Columbia SC 29210-3841 | |
| (803) 798-8476 | |
| (803) 798-6451 |
| Full Name | Carolina Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 130 Stonemark Lane, Columbia, South Carolina |
| Authorized Official Name and Position | Robert Jay Gohean (PRESIDENT) |
| Authorized Official Contact | 8037988476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Endodontics 130 Stonemark Lane Columbia SC 29210-3841 Ph: (803) 798-8476 | Carolina Endodontics 130 Stonemark Lane Columbia SC 29210-3841 Ph: (803) 798-8476 |
| NPI Number | 1508924705 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508924705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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