CHARLES EUGENE WILLARD DMD, NPI 1215094230
Dentist in WARE SHOALS, SC
Last Updated on : Jul 09,2007
About CHARLES EUGENE WILLARD (NPI 1215094230)
CHARLES EUGENE WILLARD is a Dentist provider in WARE SHOALS, United States. His medical specialization is Dentist .
1215094230 is NPI number of CHARLES EUGENE WILLARD.
CHARLES EUGENE WILLARD's primary taxonomy code based on NPI Lookup is 122300000X with license number 2843. This taxonomy code refers to Dentist.
CHARLES EUGENE WILLARD has more than 15 years of experience.
CHARLES EUGENE WILLARD current practice location address is 27 E MAIN ST, WARE SHOALS, SC. CHARLES EUGENE WILLARD can be reached out via phone at 864-456-2521 .
You can also correspond with CHARLES EUGENE WILLARD through mail at mailing address 27 E MAIN ST, WARE SHOALS, SC, United States. Mailing address contact number is 864-456-2521.
The enumeration date of CHARLES EUGENE WILLARD is 02-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 16 years ago.1215094230 NPI Information
Basic NPI information of CHARLES EUGENE WILLARD (NPI 1215094230) is provided below.
| Name | CHARLES EUGENE WILLARD |
|---|---|
| National Provider Id (NPI) | 1215094230 |
| Entity Type | Individual |
| Gender | M |
| Credential | DMD |
| Practice Address | 27 E MAIN ST,
WARE SHOALS, SC, United States |
| Practice Telephone | 864-456-2521 |
| Practice Fax Number | |
| Mailing Address | 27 E MAIN ST ,
WARE SHOALS, SC, United States |
| Mailing Telephone | 864-456-2521 |
| Mailing Fax Number | |
| Enumeration Date | 02-Jan-2007 |
| Last Updated Date | 09-Jul-2007 |
CHARLES EUGENE WILLARD (NPI 1215094230) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 2843 | SC |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z28435 | MEDICAID (05) | SC |
CHARLES EUGENE WILLARD (NPI 1215094230) Office Location
Office location of CHARLES EUGENE WILLARD is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1215094230 | CHARLES EUGENE WILLARD | Dentist | 27 E MAIN ST,
WARE SHOALS, SC, United States |
02-Jan-2007 |
| 1528307618 | KIMBERLY R MCCLAIN | Registered Nurse, School | 56 S GREENWOOD AVE,
WARE SHOALS, SC, United States |
08-Feb-2013 |
| 1871832964 | PAMELA J KNIGHT | Licensed Practical Nurse | 45 W MAIN ST,
WARE SHOALS, SC, United States |
08-Feb-2013 |
| 1306185400 | WHITNEY JOHNSON BROADWELL | Registered Nurse, School | 15269 INDIAN MOUND RD,
WARE SHOALS, SC, United States |
08-Feb-2013 |
| 1730575937 | MAKENZIE WELLS | Physical Therapy Assistant | 435 HARMONY RD,
WARE SHOALS, SC, United States |
14-Apr-2015 |
| 1699119263 | ALISON M RICHTER | Psychologist, School | 25 E MAIN ST,
WARE SHOALS, SC, United States |
25-Apr-2013 |
| 1164866620 | JAYNE STAFFORD CLARK | Counselor | 49 SMITH ST,
WARE SHOALS, SC, United States |
26-Apr-2013 |
| 1992756613 | WARE SHOALS SCHOOL DISTRICT 51 | Local Education Agency (LEA) | 25 E MAIN ST,
WARE SHOALS, SC, United States |
15-May-2006 |
| 1104022516 | PARK PHARMACY, INC | Durable Medical Equipment & Medical Supplies | 9 E MAIN ST,
WARE SHOALS, SC, United States |
22-Jun-2007 |
| 1912924564 | NELL HUNTER BEHRMANN | Speech-Language Pathologist, | 15269 INDIAN MOUND RD,
WARE SHOALS, SC, United States |
17-Jul-2006 |
| 1043229982 | BENNIE S HENDERSON | Nurse Practitioner, Family | 157 B S GREENWOOD AVE EXT,
WARE SHOALS, SC, United States |
07-Aug-2006 |
| 1669664728 | JOHN CENAROSA PAGUNTALAN | Nurse Practitioner, Family | 157B S GREENWOOD AVE,
WARE SHOALS, SC, United States |
13-Aug-2007 |
| 1053629519 | STACEY BASS | Pharmacist | 734 N GREENWOOD AVE,
WARE SHOALS, SC, United States |
18-Sep-2010 |
| 1205144490 | JOSEPH SETH PULLEY | Pharmacist | 734 N GREENWOOD AVE,
WARE SHOALS, SC, United States |
22-Sep-2010 |
| 1689858367 | HARMONY RESIDENTIAL CARE CENTER, LLC | Assisted Living Facility | 10 N GREENWOOD AVE,
WARE SHOALS, SC, United States |
18-Dec-2007 |
| 1912061318 | BECKMAN | Community/Behavioral Health | 1547 PARKWAY,
SUITE 100 GREENWOOD, SC, United States |
20-Dec-2006 |
| 1477106144 | CHRISTA GRADDY ROSS | Occupational Therapy Assistant | 246 FREE BRIDGE RD,
WARE SHOALS, SC, United States |
22-Jul-2019 |
| 1639202922 | CAROLINA HEALTH CENTERS, INC. | Clinic/Center, Federally Qualified Health Center (FQHC) | 93 S GREENWOOD AVE,
PO BOX 389 WARE SHOALS, SC, United States |
14-Mar-2007 |
| 1821471236 | HEALTHSTAT ONSITE CLINIC MVM WARE SHOALS | Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | 4651 CHARLOTTE PARK DR,
SUITE 300 CHARLOTTE, NC, United States |
02-Jul-2015 |
| 1679679138 | PARK PHARMACY, INC | Pharmacist | PO BOX 89,
WARE SHOALS, SC, United States |
15-Sep-2006 |
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FAQs
Whose NPI Number is 1215094230?1215094230 is the NPI number of CHARLES EUGENE WILLARD.
What is the specialty for CHARLES EUGENE WILLARD?The Specialty of CHARLES EUGENE WILLARD is Dentist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|