Rismani, Sid R

Rismani, Sid R is an individual health care provider with primary practice located at 3210 Landmark Dr Suite D, North Charleston SC 29418-8486. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rismani, Sid R can be contacted via phone (843) 767-2600.

Contact Information

Primary practice address
3210 Landmark Dr Suite D North Charleston SC 29418-8486
Phone: (843) 767-2600
Fax: (843) 552-4405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3073 South Carolina

Profile Details

NPI number 1770666596
LBN Legal business name Rismani, Sid R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
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 1770666596 NPPES
South Carolina MEDICAID 930734

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