Sample, Kathryn Rogers

Sample, Kathryn Rogers is an individual health care provider with primary practice located at 203 N Lake Dr , Lexington SC 29072. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Sample, Kathryn Rogers can be contacted via phone (803) 356-1606.

Contact Information

Primary practice address
203 N Lake Dr Lexington SC 29072
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3864 South Carolina

Profile Details

NPI number 1720106610
LBN Legal business name Sample, Kathryn Rogers
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 8th, 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 1720106610 NPPES
South Carolina MEDICAID ZX3864

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