Provider Demographics
NPI:1902155781
Name:SEGARS, ROBERT CARVER (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CARVER
Last Name:SEGARS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 N GUIGNARD DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2434
Mailing Address - Country:US
Mailing Address - Phone:803-775-1684
Mailing Address - Fax:803-773-4942
Practice Address - Street 1:513 N GUIGNARD DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2434
Practice Address - Country:US
Practice Address - Phone:803-775-1684
Practice Address - Fax:803-773-4942
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-07
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1827122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist