Mcroberts, John G

Mcroberts, John G is an individual health care provider with primary practice located at 875 Old Clemson Hwy , Seneca SC 29672-8060. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mcroberts, John G can be contacted via phone (864) 654-5733.

Contact Information

Primary practice address
875 Old Clemson Hwy Seneca SC 29672-8060
Fax: (864) 654-1117
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3718 South Carolina

Profile Details

NPI number 1952354045
LBN Legal business name Mcroberts, John G
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1952354045 NPPES
South Carolina MEDICAID ZX3718

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