Burtner, Kenneth M.

Burtner, Kenneth M. is an sole proprietor health care provider with primary practice located at 105 Ben Casey Dr Suite 115, Fort Mill SC 29708-8561. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Burtner, Kenneth M. can be contacted via phone (803) 548-9910.

Contact Information

Primary practice address
105 Ben Casey Dr Suite 115 Fort Mill SC 29708-8561
Phone: (803) 548-9910
Fax: (803) 548-9915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 3553/611 South Carolina

Profile Details

NPI number 1801976162
LBN Legal business name Burtner, Kenneth M.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Sep 6th, 2023 - about last year

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 1801976162 NPPES
South Carolina MEDICAID ZA9491
South Carolina MEDICAID 5903373

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