Dillon, Alyssa
Dillon, Alyssa is an individual health care provider with primary practice located at 25 Innovation Dr , Greenville SC 29607-5394. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Dillon, Alyssa can be contacted via phone (864) 210-9075.Contact Information
Primary practice address
25 Innovation Dr
Greenville SC 29607-5394
Phone: (864) 210-9075
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9120 | South Carolina |
Profile Details
| NPI number | 1558738278 |
|---|---|
| LBN Legal business name | Dillon, Alyssa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2015 |
| Last updated | Jun 30th, 2023 - about 3 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 | 1558738278 | NPPES |
| Pennsylvania | MEDICAID | 103042197 | |
| Pennsylvania | Other | DS040628 |
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