Cobb, Larry Wayne

Cobb, Larry Wayne is an individual health care provider with primary practice located at 2C Cleveland Ct , Greenville SC 29607-2414. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Cobb, Larry Wayne can be contacted via phone (864) 271-9990.

Contact Information

Primary practice address
2C Cleveland Ct Greenville SC 29607-2414
Fax: (864) 235-7959
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 2165 South Carolina

Profile Details

NPI number 1831156777
LBN Legal business name Cobb, Larry Wayne
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831156777 NPPES
South Carolina MEDICAID Z21655

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