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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1770666596 | NPPES |
| South Carolina | MEDICAID | 930734 |
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