Dr. Lisbeth W Poag
Pediatric Dentist
500 Physicians Ln
Sumter
, South Carolina 29150-3370
Dr. Lisbeth W Poag
Pediatric Dentist
500 Physicians Ln
Sumter
, South Carolina 29150-3370
(803) 934-9943
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Lisbeth W Poag
- 500 Physicians Ln
- Sumter, SC
- Zip : 29150-3370
- Fax : (803) 934-9943
- Phone : (803) 775-4793
Second Address
- Dr. Lisbeth W Poag
- 500 Physicians Ln
- Sumter, SC
- Zip : 29150-3370
- Fax : (803) 934-9943
- Phone : (803) 775-4793
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Is Dr. Lisbeth W Poag a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 3503-0509PD | SC |
National Provider Identifier
| NPI | 1013960616 |
|---|---|
| Provider Name | Dr. Lisbeth W Poag |
| First Address | Sumter, SC 29150-3370 |
| Second Address | Sumter, SC 29150-3370 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2006 |
| Last Update Date | 09/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Z35034 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.