Fletcher, Mark Grantham
Fletcher, Mark Grantham is an sole proprietor health care provider with primary practice located at 107 Parris Bridge Rd , Boiling Springs SC 29316-1924. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fletcher, Mark Grantham can be contacted via phone (864) 578-0043.Contact Information
Primary practice address
107 Parris Bridge Rd
Boiling Springs SC 29316-1924
Phone: (864) 578-0043
Fax: (864) 578-0044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4095 | South Carolina |
Profile Details
| NPI number | 1538284666 |
|---|---|
| LBN Legal business name | Fletcher, Mark Grantham |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 9th, 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 | 1538284666 | NPPES |
| South Carolina | MEDICAID | ZX4095 |
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