Burckhalter, L Jarrette

Burckhalter, L Jarrette is an individual health care provider with primary practice located at 1643 Carolina Avenue , Orangeburg SC 29115. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Burckhalter, L Jarrette can be contacted via phone (803) 534-7525.

Contact Information

Primary practice address
1643 Carolina Avenue Orangeburg SC 29115
Phone: (803) 534-7525
Fax: (803) 534-7526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X SC2095 South Carolina

Profile Details

NPI number 1043378870
LBN Legal business name Burckhalter, L Jarrette
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043378870 NPPES
South Carolina MEDICAID 341798

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