Anderson, Dirk Edward

Anderson, Dirk Edward is an individual health care provider with primary practice located at 1144 India Hook Rd Suite E, Rock Hill SC 29732-2783. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Dirk Edward can be contacted via phone (803) 324-7640.

Contact Information

Primary practice address
1144 India Hook Rd Suite E Rock Hill SC 29732-2783
Phone: (803) 324-7640
Fax: (803) 324-4217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1571 South Carolina

Profile Details

NPI number 1467515429
LBN Legal business name Anderson, Dirk Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 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 1467515429 NPPES
South Carolina MEDICAID Z15715

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