Individual
DR. JOHN C BILDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
410 SOUTH MAIN STREET, MULLINS, SC 29574
(843) 464-2099
(843) 464-4432
Mailing address
410 SOUTH MAIN STREET, MULLINS, SC 29574
(843) 464-2099
(843) 464-4432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC2391
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
444915
—
SC
01
—
8990714
MEDICAID
NC
Enumeration date
06/07/2006
Last updated
07/08/2007
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