1386734176 NPI number — DR. CHARLES DANIEL MCNUTT II DMD

Table of content: DR. CHARLES DANIEL MCNUTT II DMD (NPI 1386734176)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386734176 NPI number — DR. CHARLES DANIEL MCNUTT II DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCNUTT
Provider First Name:
CHARLES
Provider Middle Name:
DANIEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
II
Provider Credential Text:
DMD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386734176
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
975 N CHURCH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPARTANBURG
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29303-4104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
864-582-4308
Provider Business Mailing Address Fax Number:
864-596-4492

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5711 RIVERS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29406-6028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-744-8338
Provider Business Practice Location Address Fax Number:
803-744-9374
Provider Enumeration Date:
10/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  3334 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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