DR. CHARLES EUGENE WILLARD (NPI# 1215094230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215094230 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EUGENE WILLARD |
| Credential | DMD |
| Practice Address |
27 E Main St Ware Shoals SC 29692-1338 |
| Practice Telephone | 8644562521 |
| Mailing Telephone | 8644562521 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2843 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Z28435 | 05 |
| Street Address |
27 E MAIN ST |
| City | WARE SHOALS |
| State | SC |
| Zip Code | 29692-1338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743295 | Kp and Rd LLC | Pharmacy | 721 N Greenwood Avenue, Ware Shoals, SC 29692 | 2020-09-06 |
| 1639541972 | Ally Child and Family Counseling, LLC | Counselor | 2924 Nation Road, Ware Shoals, SC 29692 | 2015-10-27 |
| 1942528161 | Self Medical Group | Family Medicine | 167 Greenwood Ave S, Ware Shoals, SC 29692 | 2010-05-12 |
| 1629136858 | West End Drug Inc | Pharmacist | 80 N Greenwood Ave, Ware Shoals, SC 29692 | 2006-12-04 |
| 1043229982 | Bennie S Henderson | Nurse Practitioner | 157 B S Greenwood Ave Ext, Ware Shoals, SC 29692 | 2006-08-07 |
| 1053629519 | Stacey Bass | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-18 |
| 1205144490 | Joseph Seth Pulley | Pharmacist | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2010-09-22 |
| 1992038533 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 734 N Greenwood Ave, Ware Shoals, SC 29692-1233 | 2009-09-15 |
| 1689858367 | Harmony Residential Care Center, LLC | Assisted Living Facility | 10 N Greenwood Ave, Ware Shoals, SC 29692-1239 | 2007-12-18 |
| 1104022516 | Park Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 9 E Main St, Ware Shoals, SC 29692-1301 | 2007-06-22 |
| Find all providers in zip 29692 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1396342762 | Leonard James Cochrane IIi | Dentist | 150 Bee St Apt 706, Charleston, SC 29401-5706 | 2020-10-07 |
| 1134735129 | Kidz Planet Pediatric Dentistry - Sda Pa | Dentist | 960 Ribaut Rd Ste 3, Beaufort, SC 29902-5434 | 2020-09-16 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1336759307 | Elizabeth Blakeney Sitton | Dentist | 3463 Us-21 #101, Fort Mill, SC 29715 | 2020-08-05 |
| 1922624618 | Todays Dental At Lexington LLC | Dentist | 458 Old Cherokee Rd Ste 100, Lexington, SC 29072-6971 | 2020-06-18 |
| 1912522426 | Andrea Ballengee | Dentist | 4405 Highway 17, Murrells Inlet, SC 29576-5097 | 2020-06-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1750919718 | Destination Dental LLC | Dentist | 155 Deacon Tiller Ct Ste 101, Duncan, SC 29334-8880 | 2020-03-27 |
| 1194360024 | Affordable Dentures & Implants - Orangeburg, P.C. | Dentist | 1532 Saint Matthews Rd, Orangeburg, SC 29118-2437 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | WARE SHOALS |
| Zip Code | 29692 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.