Ayers, Gary Walter

Ayers, Gary Walter is an sole proprietor health care provider with primary practice located at 1274 Ribaut Rd , Beaufort SC 29902-6187. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ayers, Gary Walter can be contacted via phone (843) 524-6363.

Contact Information

Primary practice address
1274 Ribaut Rd Beaufort SC 29902-6187
Fax: (843) 522-9735
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2089 South Carolina

Profile Details

NPI number 1609916238
LBN Legal business name Ayers, Gary Walter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1609916238 NPPES
Other 576293 UNITED CONCORDIA
Other SC2089 UNITED CONCORDIA
MEDICAID Z20898 UNITED CONCORDIA

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