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Contact Information

MURTUZA ANSARI, DMD
1340 PARK ST
ORANGEBURG, SC29115-4880
 Phone: 803-534-2507
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MURTUZA ANSARI · (Male)

NPI Number 1912964354
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 04/28/2006
Last updated 03/01/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # SC3819
  • SC Medicaid ZX3819
  • SC Other BCBSAL 880-146 BCBS OF ALABAMA
  • SC Other 01326192 UNITED CONCORDIA ID
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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