Pantazis, Heidi
Pantazis, Heidi is an individual health care provider with primary practice located at 4344 Broad River Rd , Columbia SC 29210-4010. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Pantazis, Heidi can be contacted via phone (803) 896-1521.Contact Information
Primary practice address
4344 Broad River Rd
Columbia SC 29210-4010
Phone: (803) 896-1521
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 8883 | South Carolina |
| Dental Providers / Dentist | 122300000X | DN015311 | Georgia |
Profile Details
| NPI number | 1073054177 |
|---|---|
| LBN Legal business name | Pantazis, Heidi |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2017 |
| Last updated | Mar 9th, 2017 - about 9 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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