Dillard, Frederick M
Dillard, Frederick M is an sole proprietor health care provider with primary practice located at 2270 Ashley Crossing Dr Ste 175, Charleston SC 29414-5732. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dillard, Frederick M can be contacted via phone (843) 410-5766.Contact Information
Primary practice address
2270 Ashley Crossing Dr Ste 175
Charleston SC 29414-5732
Phone: (843) 410-5766
Fax: (843) 410-5767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 3868 | South Carolina |
Profile Details
| NPI number | 1619945433 |
|---|---|
| LBN Legal business name | Dillard, Frederick M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Apr 27th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619945433 | NPPES |
| South Carolina | MEDICAID | ZX3868 |
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