Rucker, Carlton D
Rucker, Carlton D is an sole proprietor health care provider with primary practice located at 575 Springcrest Dr Ste A , Fort Mill SC 29715-7324. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rucker, Carlton D can be contacted via phone (803) 547-1888.Contact Information
Primary practice address
575 Springcrest Dr Ste A
Fort Mill SC 29715-7324
Phone: (803) 547-1888
Fax: (803) 547-8533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3742 | South Carolina |
Profile Details
| NPI number | 1841248382 |
|---|---|
| LBN Legal business name | Rucker, Carlton D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Jun 29th, 2022 - about 4 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 | 1841248382 | NPPES |
| South Carolina | MEDICAID | ZX3742 |
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