Whitehead, Marissa Ann

Whitehead, Marissa Ann is an individual health care provider with primary practice located at 10 Medical Park Palmetto Health Richland - Dental Educ, Columbia SC 29203. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Whitehead, Marissa Ann can be contacted via phone (803) 434-6567.

Contact Information

Primary practice address
10 Medical Park Palmetto Health Richland - Dental Educ Columbia SC 29203
Phone: (803) 434-6567
Fax: (803) 434-6299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7134 South Carolina

Profile Details

NPI number 1033478060
LBN Legal business name Whitehead, Marissa Ann
Credentials Doctor of Medical Education (DME)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2012
Last updated May 11th, 2012 - about 14 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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