Burtner, Kenneth M.
Burtner, Kenneth M. is an sole proprietor health care provider with primary practice located at 105 Ben Casey Dr Suite 115, Fort Mill SC 29708-8561. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Burtner, Kenneth M. can be contacted via phone (803) 548-9910.Contact Information
Primary practice address
105 Ben Casey Dr Suite 115
Fort Mill SC 29708-8561
Phone: (803) 548-9910
Fax: (803) 548-9915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 3553/611 | South Carolina |
Profile Details
| NPI number | 1801976162 |
|---|---|
| LBN Legal business name | Burtner, Kenneth M. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Sep 6th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801976162 | NPPES |
| South Carolina | MEDICAID | ZA9491 | |
| South Carolina | MEDICAID | 5903373 |
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