Ackerman, William Gray

Ackerman, William Gray is an individual health care provider with primary practice located at 342 Calhoun Ave , Greenwood SC 29649-2011. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ackerman, William Gray can be contacted via phone (864) 229-7979.

Contact Information

Primary practice address
342 Calhoun Ave Greenwood SC 29649-2011
Phone: (864) 229-7979
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20040 South Carolina

Profile Details

NPI number 1689637910
LBN Legal business name Ackerman, William Gray
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689637910 NPPES
South Carolina MEDICAID Z20040

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