Thekkethottiyil, Georgea B

Thekkethottiyil, Georgea B is an sole proprietor health care provider with primary practice located at 109 Windsorgate Way , Simpsonville SC 29681-3698. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Thekkethottiyil, Georgea B can be contacted via phone (267) 241-8248.

Contact Information

Primary practice address
109 Windsorgate Way Simpsonville SC 29681-3698
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.029190 Illinois
Dental Providers / General Practice 1223G0001X 8598 South Carolina

Profile Details

NPI number 1013267467
LBN Legal business name Thekkethottiyil, Georgea B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2012
Last updated Oct 17th, 2022 - about 2 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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