Loftis, Kenley Jackson

Loftis, Kenley Jackson is an sole proprietor health care provider with primary practice located at 1429 Sunset Blvd. , West Columbia SC 29169-6722. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Loftis, Kenley Jackson can be contacted via phone (803) 794-8741.

Contact Information

Primary practice address
1429 Sunset Blvd. West Columbia SC 29169-6722
Phone: (803) 794-8741
Fax: (803) 794-2149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3331 South Carolina

Profile Details

NPI number 1013044890
LBN Legal business name Loftis, Kenley Jackson
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2007
Last updated Sep 29th, 2010 - about 16 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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