Shields, Vance Cutler

Shields, Vance Cutler is an individual health care provider with primary practice located at 4605 Oleander Dr Ste A , Myrtle Beach SC 29577-5739. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Shields, Vance Cutler can be contacted via phone (843) 449-9413.

Contact Information

Primary practice address
4605 Oleander Dr Ste A Myrtle Beach SC 29577-5739
Phone: (843) 449-9413
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 248 South Carolina
Dental Providers / Pediatric Dentistry 1223P0221X 2299 South Carolina

Profile Details

NPI number 1407907769
LBN Legal business name Shields, Vance Cutler
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 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 1407907769 NPPES
North Carolina MEDICAID 899777C
North Carolina MEDICAID ZZ2299

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