Ray, Washington
Ray, Washington is an individual health care provider with primary practice located at 625 Constitution Dr , Sumter SC 29154-8190. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ray, Washington can be contacted via phone (803) 773-5413.Contact Information
Primary practice address
625 Constitution Dr
Sumter SC 29154-8190
Phone: (803) 773-5413
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2238 | South Carolina |
Profile Details
| NPI number | 1740396803 |
|---|---|
| LBN Legal business name | Ray, Washington |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Apr 18th, 2016 - about 10 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 | 1740396803 | NPPES |
| South Carolina | MEDICAID | 239742 |
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