Pournaras, Vasilios

Pournaras, Vasilios is an individual health care provider with primary practice located at 1211 44Th Ave. N. Suite 100, Myrtle Beach SC 29577. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pournaras, Vasilios can be contacted via phone (843) 449-3161.

Contact Information

Primary practice address
1211 44Th Ave. N. Suite 100 Myrtle Beach SC 29577
Phone: (843) 449-3161
Fax: (843) 449-9785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X SC3697 South Carolina

Profile Details

NPI number 1083698781
LBN Legal business name Pournaras, Vasilios
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083698781 NPPES
South Carolina MEDICAID ZX3697

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