Stoddard, Thomas Bryan
Stoddard, Thomas Bryan is an individual health care provider with primary practice located at 1112 Grace Street , Greenwood SC 29649. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stoddard, Thomas Bryan can be contacted via phone (864) 223-9200.Contact Information
Primary practice address
1112 Grace Street
Greenwood SC 29649
Phone: (864) 223-9200
Fax: (864) 223-2429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2687 | South Carolina |
Profile Details
| NPI number | 1821173071 |
|---|---|
| LBN Legal business name | Stoddard, Thomas Bryan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821173071 | NPPES |
| South Carolina | MEDICAID | Z26874 |
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