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:
Health care specialties
| Specialty | Code | License # | 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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