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NPI Code Detail

MEDICARE: DR. PINCKNEY LANCASTER HARPER JR. DDS

MEDICARE: DR. PINCKNEY LANCASTER HARPER JR. DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)1481SC

General Provider Information

NPI Number : 1982688560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PINCKNEY LANCASTER HARPER JR. DDS
Provider Business Mailing Address
First Line : 7465A NORTHSIDE DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29420-4209
Country : US
Telephone Number : 843-797-7600
Fax Number : 843-797-7905
Provider Business Practice Location Address
First Line : 7465A NORTHSIDE DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29420-4209
Country : US
Telephone Number : 843-797-7600
Fax Number : 843-797-7905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 07/08/2007

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