MR. FREDERICK M DILLARD (NPI# 1619945433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619945433 |
| Entity Type | Individual |
| Full Name | MR. FREDERICK M DILLARD |
| Other Name | DR. F MATT DILLARD |
| Credential | DMD |
| Practice Address |
2270 Ashley Crossing Dr Ste 175 Charleston SC 29414-5732 |
| Practice Telephone | 8434105766 |
| Practice Fax Number | 8434105767 |
| Mailing Telephone | 8434105766 |
| Mailing Fax Number | 8434105767 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2011-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3868 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZX3868 | 05 |
| Street Address |
2270 ASHLEY CROSSING DR STE 175 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858996 | Thomas Bailey Harper IIi | Allergy & Immunology | 2270 Ashley Crossing Dr, Suite 150, Charleston, SC 29414-5732 | 2005-08-15 |
| 1821437336 | Brendan James Neary | Family Medicine | 2270 Ashley Crossing Dr, Ste. 170, Charleston, SC 29414-5732 | 2013-06-18 |
| 1922300342 | Roper Saint Francis Physicians Network | Surgery | 2270 Ashley Crossing Dr, Suite 155, Charleston, SC 29414-5732 | 2010-11-18 |
| 1891009379 | Deanna Lenore O'hare | Technician/Technologist | 2270 Ashley Crossing Dr, Suite 100, Charleston, SC 29414-5732 | 2010-07-27 |
| 1306089602 | Roper Saint Francis Physicians Network | Internal Medicine | 2270 Ashley Crossing Dr, Suite 170, Charleston, SC 29414 | 2009-04-16 |
| 1124289848 | Alexis Anne Jesup | Family Medicine | 2270 Ashley Crossing Dr, Suite 170, Charleston, SC 29414-5732 | 2008-06-25 |
| 1326209115 | Katherine Seawright Frizelle | Family Medicine | 2270 Ashley Crossing Dr, Suite 170, Charleston, SC 29414-5732 | 2008-06-24 |
| 1265612378 | Karen S Norman | Technician/Technologist | 2270 Ashley Crossing Dr, Suite 100, Charleston, SC 29414-5749 | 2007-11-06 |
| 1134309263 | Professional Optical | Ophthalmology | 2270 Ashley Crossing Dr, Ste 100, Charleston, SC 29414-5749 | 2007-11-06 |
| 1518153402 | Anna Weiss Kirk | Internal Medicine | 2270 Ashley Crossing Dr, Ste 170, Charleston, SC 29414-5732 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963508 | Clements Ferry Dentistry LLC | Dentist | 1951 Clements Ferry Rd Ste 201, Charleston, SC 29492-8325 | 2020-05-11 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1205290764 | Sloan Rehder | Dentist | 2051 Sam Rittenberg Blvd, Charleston, SC 29407-4683 | 2016-04-11 |
| 1679954705 | Coafs Lab | Dentist | 125 Wappoo Creek Dr Ste C1, Charleston, SC 29412-2161 | 2015-06-15 |
| 1952798357 | Now Or Never 2011, LLC | Dentist | 2270 Ashley Crossing Dr Ste 175, Charleston, SC 29414-5863 | 2015-04-23 |
| 1124296470 | M. Stephen Brandon, Dds LLC | Dentist | 1051 Gardner Rd Ste B, Charleston, SC 29407-5747 | 2008-02-20 |
| 1043409063 | Charleston Oral and Facial Surgery, Inc. | Dentist | 125 Wappoo Creek Dr, Suite 1, Charleston, SC 29412-2163 | 2007-10-16 |
| 1659442309 | Edward Elias Howard | Dentist | 1321 Virginia St E, Charleston, WV 25301 | 2006-11-13 |
| 1376614024 | Richard Lee Howard | Dentist | 1321 Virginia St East, Charleston, WV 25301 | 2006-11-13 |
| 1568543619 | Francis Simons Hane Jr. | Dentist | 96 Jonathan Lucas, Charleston, SC 29425 | 2006-10-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.