Harris, Roger Marvin
Harris, Roger Marvin is an sole proprietor health care provider with primary practice located at 920 S. Batesville Road , Greer SC 29650-4524. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Harris, Roger Marvin can be contacted via phone (864) 877-9111.Contact Information
Primary practice address
920 S. Batesville Road
Greer SC 29650-4524
Phone: (864) 877-9111
Fax: (864) 877-9195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3557 | South Carolina |
Profile Details
| NPI number | 1578676698 |
|---|---|
| LBN Legal business name | Harris, Roger Marvin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jan 20th, 2011 - about 15 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578676698 | NPPES |
| South Carolina | MEDICAID | ZX3557 | |
| South Carolina | Other | 449325 |
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