Witherspoon, Walter Pennington
Witherspoon, Walter Pennington is an individual health care provider with primary practice located at 205 Medical Cir , West Columbia SC 29169-3653. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Witherspoon, Walter Pennington can be contacted via phone (803) 796-5300.Contact Information
Primary practice address
205 Medical Cir
West Columbia SC 29169-3653
Phone: (803) 796-5300
Fax: (803) 796-5301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1304 | South Carolina |
| Dental Providers / Dentist | 122300000X | 94 | South Carolina |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 1304 | South Carolina |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 94 | South Carolina |
Profile Details
| NPI number | 1689647307 |
|---|---|
| LBN Legal business name | Witherspoon, Walter Pennington |
| Credentials | DDS MSO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689647307 | NPPES |
| South Carolina | Other | 213041 | DEPT OF HLTH & HUMAN SVS |
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