Lofgren, Robert Edward

Lofgren, Robert Edward is an individual health care provider with primary practice located at 823 Hayne Ave Sw , Aiken SC 29801. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lofgren, Robert Edward can be contacted via phone (803) 649-0516.

Contact Information

Primary practice address
823 Hayne Ave Sw Aiken SC 29801
Phone: (803) 649-0516
Fax: (803) 649-0549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1812 South Carolina

Profile Details

NPI number 1063578953
LBN Legal business name Lofgren, Robert Edward
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063578953 NPPES
South Carolina MEDICAID Z18124

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