Williams, Bart David

Williams, Bart David is an sole proprietor health care provider with primary practice located at 39 Brendan Way , Greenville SC 29615-3514. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Williams, Bart David can be contacted via phone (864) 458-9800.

Contact Information

Primary practice address
39 Brendan Way Greenville SC 29615-3514
Fax: (864) 458-9860
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3585 South Carolina

Profile Details

NPI number 1962401422
LBN Legal business name Williams, Bart David
Credentials MD, DMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2005
Last updated Jul 26th, 2010 - about 15 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 1962401422 NPPES
South Carolina MEDICAID ZX3585

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