Williams, Thomas Bradley
Williams, Thomas Bradley is an sole proprietor health care provider with primary practice located at 118 Springhall Dr Suite B, Goose Creek SC 29445-5360. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Williams, Thomas Bradley can be contacted via phone (843) 572-8009.Contact Information
Primary practice address
118 Springhall Dr Suite B
Goose Creek SC 29445-5360
Phone: (843) 572-8009
Fax: (843) 377-0509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3808 | South Carolina |
Profile Details
| NPI number | 1508929639 |
|---|---|
| LBN Legal business name | Williams, Thomas Bradley |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 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 | 1508929639 | NPPES |
| South Carolina | MEDICAID | ZX3808 | |
| South Carolina | Other | 1393195 | |
| South Carolina | MEDICAID | ZA9634 |
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