Ivester, William Alan

Ivester, William Alan is an individual health care provider with primary practice located at 636 Long Point Rd Unit F , Mount Pleasant SC 29464-8286. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ivester, William Alan can be contacted via phone (843) 971-8668.

Contact Information

Primary practice address
636 Long Point Rd Unit F Mount Pleasant SC 29464-8286
Phone: (843) 971-8668
Fax: (843) 881-7499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1803 South Carolina

Profile Details

NPI number 1295925493
LBN Legal business name Ivester, William Alan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Aug 23rd, 2016 - about 9 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 1295925493 NPPES
South Carolina MEDICAID ZZ1803

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