NPI 1689891277 · live from the CMS NPI Registry
Lance Cameron Fogle, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Taylors, SC. National Provider Identifier 1689891277, active.
NPI record
| NPI | 1689891277 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1405 Brushy Creek Rd, Taylors, SC 29687 |
| Practice phone | 864-284-9466 |
| Mailing address | 110 Villa Rd, Greenville, SC 29615 |
| Enumerated | April 18, 2007 |
| Last updated | September 27, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | 3659 (SC) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 717 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.