Solomon, Alwyn Frederick

Solomon, Alwyn Frederick is an individual health care provider with primary practice located at 1971 N Main Street , Summerville SC 29483. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Solomon, Alwyn Frederick can be contacted via phone (843) 871-0842.

Contact Information

Primary practice address
1971 N Main Street Summerville SC 29483
Fax: (843) 832-4531
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X SC2301 South Carolina

Profile Details

NPI number 1992862742
LBN Legal business name Solomon, Alwyn Frederick
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 18th, 2015 - 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 1992862742 NPPES
South Carolina MEDICAID 409001

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