Ayers, Jerry Lee

Ayers, Jerry Lee is an individual health care provider with primary practice located at 3527 Bush River Rd , Columbia SC 29210-4805. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Ayers, Jerry Lee can be contacted via phone (803) 798-0894.

Contact Information

Primary practice address
3527 Bush River Rd Columbia SC 29210-4805
Phone: (803) 798-0894
Fax: (803) 731-7887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2616 South Carolina

Profile Details

NPI number 1558385245
LBN Legal business name Ayers, Jerry Lee
Credentials DMD, MHS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
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 1558385245 NPPES
South Carolina MEDICAID ZX2616

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