Raines, Kevin M

Raines, Kevin M is an individual health care provider with primary practice located at 139 Whiteford Way , Lexington SC 29072-7965. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Raines, Kevin M can be contacted via phone (803) 951-9100.

Contact Information

Primary practice address
139 Whiteford Way Lexington SC 29072-7965
Phone: (803) 951-9100
Fax: (803) 951-1910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3453-0523PD South Carolina

Profile Details

NPI number 1750457222
LBN Legal business name Raines, Kevin M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 9th, 2007 - about 17 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 1750457222 NPPES
South Carolina MEDICAID ZX3453

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