Durant, Tracy L
Durant, Tracy L is an sole proprietor health care provider with primary practice located at 1125 N Anderson Rd Suite 104, Rock Hill SC 29730-2776. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Durant, Tracy L can be contacted via phone (803) 325-8178.Contact Information
Primary practice address
1125 N Anderson Rd Suite 104
Rock Hill SC 29730-2776
Phone: (803) 325-8178
Fax: (803) 325-8179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3506 | South Carolina |
Profile Details
| NPI number | 1669683173 |
|---|---|
| LBN Legal business name | Durant, Tracy L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2007 |
| Last updated | Oct 10th, 2012 - about 14 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 | 1669683173 | NPPES |
| South Carolina | MEDICAID | ZA9577 | |
| South Carolina | Other | 710905114 |
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