Arnette, Evander Charles

Arnette, Evander Charles is an sole proprietor health care provider with primary practice located at 803 2Nd Ave N , North Myrtle Beach SC 29582-3016. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Arnette, Evander Charles can be contacted via phone (843) 249-1333.

Contact Information

Primary practice address
803 2Nd Ave N North Myrtle Beach SC 29582-3016
Phone: (843) 249-1333
Fax: (843) 249-2569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2005 South Carolina

Profile Details

NPI number 1740332774
LBN Legal business name Arnette, Evander Charles
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740332774 NPPES
South Carolina Other 2005 STATE LICENSE NUMBER
South Carolina MEDICAID Z20059 STATE LICENSE NUMBER

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