Depaul, Edna Klatt

Depaul, Edna Klatt is an individual health care provider with primary practice located at 701 Leader Ln , Mt Pleasant SC 29464-8152. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Depaul, Edna Klatt can be contacted via phone (843) 345-2307.

Contact Information

Primary practice address
701 Leader Ln Mt Pleasant SC 29464-8152
Phone: (843) 345-2307
Fax: (843) 881-3161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2529 South Carolina

Profile Details

NPI number 1861498180
LBN Legal business name Depaul, Edna Klatt
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Aug 8th, 2013 - about 12 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 1861498180 NPPES
South Carolina MEDICAID 992529
South Carolina Other 2529
South Carolina Other 488297

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