Individual
MR. FREDERICK M DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2270 ASHLEY CROSSING DR, STE 175, CHARLESTON, SC 29414-5732
(843) 410-5766
(843) 410-5767
Mailing address
2270 ASHLEY CROSSING DR, STE 175, CHARLESTON, SC 29414-5732
(843) 410-5766
(843) 410-5767
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3868
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3868
—
SC
Enumeration date
03/09/2006
Last updated
04/27/2011
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