NPI 1174034722

Nicole Roberge, RDH

Practitioner Dental Hygienist Indian Land, SC

Practice location

Address: 1028 Edgewater Corporate Pkwy STE 101, Indian Land, SC 29707-0187
Phone: (803) 835-2500
Mailing address: 2530 Marlowe Ave, Charlotte, NC 28208-5028

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X

Other Dental Hygienist providers in South Carolina →

Registry record

NPI: 1174034722
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Oct 2017
Record last updated: 22 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.