Davis, Michael William

Davis, Michael William is an sole proprietor health care provider with primary practice located at 133 Clebourne St , Fort Mill SC 29715-1742. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davis, Michael William can be contacted via phone (803) 547-7508.

Contact Information

Primary practice address

133 Clebourne St Fort Mill SC 29715-1742

Phone: (803) 547-7508

Fax: (803) 547-1070

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	1880	South Carolina

Profile Details

NPI number	1750461083
LBN Legal business name	Davis, Michael William
Credentials	Doctor of Dental Medicine (DMD)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Oct 17th, 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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1750461083	NPPES
South Carolina	Other	408030	UNITED CONCORDIA
South Carolina	MEDICAID	ZA9804	UNITED CONCORDIA

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