Williams, Clarence
Williams, Clarence is an individual health care provider with primary practice located at 275 South Main Street , Wagener SC 29164. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Williams, Clarence can be contacted via phone (803) 564-6582.Contact Information
Primary practice address
275 South Main Street
Wagener SC 29164
Phone: (803) 564-6582
Fax: (803) 564-6584
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | SC3240 | South Carolina |
Profile Details
| NPI number | 1093803934 |
|---|---|
| LBN Legal business name | Williams, Clarence |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093803934 | NPPES |
| South Carolina | MEDICAID | Z32402 |
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