Tevepaugh, David Brian

Tevepaugh, David Brian is an individual health care provider with primary practice located at 1755 Saint Julian Pl , Columbia SC 29204-2409. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Tevepaugh, David Brian can be contacted via phone (803) 254-2972.

Contact Information

Primary practice address
1755 Saint Julian Pl Columbia SC 29204-2409
Phone: (803) 254-2972
Fax: (803) 799-2151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3085 South Carolina

Profile Details

NPI number 1871570804
LBN Legal business name Tevepaugh, David Brian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
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 1871570804 NPPES
South Carolina MEDICAID Z30850

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