Dillard, Frederick M

Dillard, Frederick M is an sole proprietor health care provider with primary practice located at 2270 Ashley Crossing Dr Ste 175, Charleston SC 29414-5732. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dillard, Frederick M can be contacted via phone (843) 410-5766.

Contact Information

Primary practice address
2270 Ashley Crossing Dr Ste 175 Charleston SC 29414-5732
Phone: (843) 410-5766
Fax: (843) 410-5767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3868 South Carolina

Profile Details

NPI number 1619945433
LBN Legal business name Dillard, Frederick M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Apr 27th, 2011 - about 13 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 1619945433 NPPES
South Carolina MEDICAID ZX3868

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