Pagenkopf, Randall James

Pagenkopf, Randall James is an sole proprietor health care provider with primary practice located at 757 Long Point Rd # A , Mt Pleasant SC 29464-8226. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Pagenkopf, Randall James can be contacted via phone (843) 971-6221.

Contact Information

Primary practice address
757 Long Point Rd # A Mt Pleasant SC 29464-8226
Phone: (843) 971-6221
Fax: (843) 971-3810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3546 South Carolina

Profile Details

NPI number 1437233137
LBN Legal business name Pagenkopf, Randall James
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 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 1437233137 NPPES
South Carolina MEDICAID Z35463

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