Healthcare Provider Details

I. General information

NPI: 1528384344
Provider Name (Legal Business Name): WILLIAM BIGGINS & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2010
Last Update Date: 04/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 FAIR ST
CAMDEN SC
29020
US

IV. Provider business mailing address

1015 FAIR ST.
CAMDEN SC
29020
US

V. Phone/Fax

Practice location:
  • Phone: 803-432-3571
  • Fax: 803-432-2625
Mailing address:
  • Phone: 803-432-3571
  • Fax: 803-432-2625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number20914
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number2023
License Number StateSC

VIII. Authorized Official

Name: DR. WILLIAM J BIGGINS
Title or Position: OWNER
Credential: DMD
Phone: 803-432-3571