Green, William Nettles

Green, William Nettles is an individual health care provider with primary practice located at 3741 Landmark Drive , Columbia SC 29204-4313. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Green, William Nettles can be contacted via phone (803) 787-1601.

Contact Information

Primary practice address
3741 Landmark Drive Columbia SC 29204-4313
Phone: (803) 787-1601
Fax: (803) 787-0811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 3214 South Carolina

Profile Details

NPI number 1689731143
LBN Legal business name Green, William Nettles
Credentials DMD MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 18 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 1689731143 NPPES
South Carolina Other 976521 UNITED CONCORDIA

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