| Dr Jordan Roger Hobel, DDS | |
|
4303 Live Oak Dr, Little River, SC 29566-9138 | |
| (843) 663-8013 | |
| (843) 663-8166 |
| Full Name | Dr Jordan Roger Hobel |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 4303 Live Oak Dr, Little River, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902355456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16158 (Maryland) | Secondary |
| 1223G0001X | Dentist - General Practice | 10446 (South Carolina) | Primary |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629021076 PECOS PAC ID: 2961309315 Enrollment ID: O20031215000742 |
| Entity Name | Little River Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346638483 PECOS PAC ID: 2961309315 Enrollment ID: O20170510000410 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Roger Hobel, DDS Po Box 547, Little River, SC 29566-0547 Ph: (843) 663-8013 | Dr Jordan Roger Hobel, DDS 4303 Live Oak Dr, Little River, SC 29566-9138 Ph: (843) 663-8013 |
Jesse Mitchel Raybon, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8011 | |
Shelby Ann Nugent, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 119 Pavilion Dr, Little River, SC 29566 Phone: 843-663-8385 | |
Dr. Latisha Kearsley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 | |
Dr. Rebecca Marie Markham, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 | |
Dr. Michael Dean Cox, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3359 Highway 9 E, Little River, SC 29566 Phone: 843-399-2525 | |
Linda Susan Thomas, Dentist Medicare: Medicare Enrolled Practice Location: 4303 Live Oak Dr, Little River, SC 29566 Phone: 843-663-8000 | |
Dr. Emily C Cooper, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3359 Highway 9 E, Little River, SC 29566 Phone: 843-399-2525 |