Terry, Brian
Terry, Brian is an individual health care provider with primary practice located at 153 Scenic Plaza Dr , West Union SC 29696-2536. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Terry, Brian can be contacted via phone (864) 638-5631.Contact Information
Primary practice address
153 Scenic Plaza Dr
West Union SC 29696-2536
Phone: (864) 638-5631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3445 | South Carolina |
Profile Details
| NPI number | 1598865032 |
|---|---|
| LBN Legal business name | Terry, Brian |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598865032 | NPPES |
| South Carolina | MEDICAID | ZX3445 |
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