Sontakke, Prachi Shridhar
Sontakke, Prachi Shridhar is an sole proprietor health care provider with primary practice located at 1505 Ebenezer Rd , Rock Hill SC 29732-1806. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Sontakke, Prachi Shridhar can be contacted via phone (857) 413-0948.Contact Information
Primary practice address
1505 Ebenezer Rd
Rock Hill SC 29732-1806
Phone: (857) 413-0948
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN1856394 | Massachusetts |
| Dental Providers / Dentist | 122300000X | 8845 | South Carolina |
Profile Details
| NPI number | 1124452636 |
|---|---|
| LBN Legal business name | Sontakke, Prachi Shridhar |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2013 |
| Last updated | Mar 28th, 2018 - about 8 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 | 1124452636 | NPPES |
| South Carolina | MEDICAID | ZX8845 |
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