Provider Demographics
NPI:1659268282
Name:KARBACK, STEPHANIE DIANE (DMD)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:DIANE
Last Name:KARBACK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 SPARTANBURG HWY
Mailing Address - Street 2:
Mailing Address - City:LYMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29365-1809
Mailing Address - Country:US
Mailing Address - Phone:864-439-4449
Mailing Address - Fax:
Practice Address - Street 1:312 SPARTANBURG HWY
Practice Address - Street 2:
Practice Address - City:LYMAN
Practice Address - State:SC
Practice Address - Zip Code:29365-1809
Practice Address - Country:US
Practice Address - Phone:864-439-4449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC111281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice