Ayers, Jerry Lee
Ayers, Jerry Lee is an individual health care provider with primary practice located at 3527 Bush River Rd , Columbia SC 29210-4805. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Ayers, Jerry Lee can be contacted via phone (803) 798-0894.Contact Information
Primary practice address
3527 Bush River Rd
Columbia SC 29210-4805
Phone: (803) 798-0894
Fax: (803) 731-7887
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 2616 | South Carolina |
Profile Details
NPI number | 1558385245 |
---|---|
LBN Legal business name | Ayers, Jerry Lee |
Credentials | DMD, MHS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558385245 | NPPES |
South Carolina | MEDICAID | ZX2616 |
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