Pennella, Kate M

Pennella, Kate M is an individual health care provider with primary practice located at 5545 Platt Springs Rd , Lexington SC 29073-7519. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Pennella, Kate M can be contacted via phone (919) 966-4834.

Contact Information

Primary practice address
5545 Platt Springs Rd Lexington SC 29073-7519
Phone: (919) 966-4834
Fax: (919) 966-1773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4628 South Carolina

Profile Details

NPI number 1831421890
LBN Legal business name Pennella, Kate M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2010
Last updated Dec 12th, 2011 - about 15 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 1831421890 NPPES
South Carolina MEDICAID ZX4628

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