Miller, Lawrence Gary
Miller, Lawrence Gary is an individual health care provider with primary practice located at 263 California Ave , Spartanburg SC 29303-2271. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Miller, Lawrence Gary can be contacted via phone (864) 699-9931.Contact Information
Primary practice address
263 California Ave
Spartanburg SC 29303-2271
Phone: (864) 699-9931
Fax: (864) 699-9932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4109 | South Carolina |
| Dental Providers / Endodontics | 1223E0200X | 784 | South Carolina |
Profile Details
| NPI number | 1053457960 |
|---|---|
| LBN Legal business name | Miller, Lawrence Gary |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 28th, 2012 - about 14 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 | 1053457960 | NPPES |
| South Carolina | MEDICAID | ZX4109 |
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