Wiedenman, Charlotte Collins

Wiedenman, Charlotte Collins is an individual health care provider with primary practice located at 129 Fauburg St Sw , Aiken SC 29801-3805. 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. Wiedenman, Charlotte Collins can be contacted via phone (803) 649-0430.

Contact Information

Primary practice address
129 Fauburg St Sw Aiken SC 29801-3805
Phone: (803) 649-0430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3844 South Carolina
Dental Providers / Dentist 122300000X 012182 Georgia
Dental Providers / General Practice 1223G0001X 3844 South Carolina

Profile Details

NPI number 1699900399
LBN Legal business name Wiedenman, Charlotte Collins
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2009
Last updated Dec 28th, 2020 - about 5 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 1699900399 NPPES
South Carolina MEDICAID 17697
South Carolina MEDICAID ZX3844

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