Pagenkopf, Randall James
Pagenkopf, Randall James is an sole proprietor health care provider with primary practice located at 757 Long Point Rd # A , Mt Pleasant SC 29464-8226. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Pagenkopf, Randall James can be contacted via phone (843) 971-6221.Contact Information
Primary practice address
757 Long Point Rd # A
Mt Pleasant SC 29464-8226
Phone: (843) 971-6221
Fax: (843) 971-3810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 3546 | South Carolina |
Profile Details
| NPI number | 1437233137 |
|---|---|
| LBN Legal business name | Pagenkopf, Randall James |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437233137 | NPPES |
| South Carolina | MEDICAID | Z35463 |
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