Jenkins, Diane Watt

Jenkins, Diane Watt is an individual health care provider with primary practice located at 110A Hospital Dr , Simpsonville SC 29681-3226. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Jenkins, Diane Watt can be contacted via phone (864) 757-8820.

Contact Information

Primary practice address
110A Hospital Dr Simpsonville SC 29681-3226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8734 Kentucky
Dental Providers / Dentist 122300000X 7146 South Carolina
Dental Providers / Dentist 122300000X 788 South Carolina

Profile Details

NPI number 1982939211
LBN Legal business name Jenkins, Diane Watt
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2009
Last updated May 28th, 2015 - about 9 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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