Sheftall,Jr., Stanley W.

Sheftall,Jr., Stanley W. is an individual health care provider with primary practice located at 3620 E River St , Anderson SC 29621-7334. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sheftall,Jr., Stanley W. can be contacted via phone (864) 261-3132.

Contact Information

Primary practice address
3620 E River St Anderson SC 29621-7334
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X SC2891 South Carolina

Profile Details

NPI number 1316076292
LBN Legal business name Sheftall,Jr., Stanley W.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
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 1316076292 NPPES
South Carolina MEDICAID ZX2891

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