Provider Demographics
NPI:1487193785
Name:STEVEN E LANHAM DDS PA
Entity Type:Organization
Organization Name:STEVEN E LANHAM DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:803-454-5845
Mailing Address - Street 1:2020 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-1019
Mailing Address - Country:US
Mailing Address - Phone:803-254-4543
Mailing Address - Fax:803-779-3329
Practice Address - Street 1:2020 LAUREL ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-1019
Practice Address - Country:US
Practice Address - Phone:803-254-4543
Practice Address - Fax:803-779-3329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC2665332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies