Tanner, Stafford Dale
Tanner, Stafford Dale is an sole proprietor health care provider with primary practice located at 1065 Johnnie Dodds Blvd Ste A , Mt Pleasant SC 29464-6153. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tanner, Stafford Dale can be contacted via phone (843) 884-5166.Contact Information
Primary practice address
1065 Johnnie Dodds Blvd Ste A
Mt Pleasant SC 29464-6153
Phone: (843) 884-5166
Fax: (843) 849-0791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2601 | South Carolina |
Profile Details
| NPI number | 1982819348 |
|---|---|
| LBN Legal business name | Tanner, Stafford Dale |
| Credentials | D.M.D. PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 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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