Rucker, Carlton D

Rucker, Carlton D is an sole proprietor health care provider with primary practice located at 575 Springcrest Dr Ste A , Fort Mill SC 29715-7324. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rucker, Carlton D can be contacted via phone (803) 547-1888.

Contact Information

Primary practice address
575 Springcrest Dr Ste A Fort Mill SC 29715-7324
Fax: (803) 547-8533
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3742 South Carolina

Profile Details

NPI number 1841248382
LBN Legal business name Rucker, Carlton D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Jun 29th, 2022 - about 2 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 1841248382 NPPES
South Carolina MEDICAID ZX3742

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