Derrick, Brian R

Derrick, Brian R is an individual health care provider with primary practice located at 104 N Main St , Greenville SC 29601-2721. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Derrick, Brian R can be contacted via phone (864) 243-8371.

Contact Information

Primary practice address
104 N Main St Greenville SC 29601-2721
Phone: (864) 243-8371
Fax: (864) 243-8374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X SC3949 South Carolina

Profile Details

NPI number 1063566396
LBN Legal business name Derrick, Brian R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated May 23rd, 2008 - about 18 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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