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Contact Information

NICHOLAS J POURNARAS DMD LLC
1801A CHARLESTON HIGHWAY
CAYCE, SC29033
 Phone: 803-794-5430
 Fax: 803-794-0122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NICHOLAS J POURNARAS DMD LLC · (Female)

NPI # 1083770762
Status Active
Credentials
Entity Individual
Enumeration date 12/28/2006
Last updated 06/17/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 3552
  • SC Medicaid ZA9845
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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