Wietecha, Scott C
Wietecha, Scott C is an individual health care provider with primary practice located at 7033 Saint Andrews Rd Suite 102, Columbia SC 29212-1179. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wietecha, Scott C can be contacted via phone (803) 781-3321.Contact Information
Primary practice address
7033 Saint Andrews Rd Suite 102
Columbia SC 29212-1179
Phone: (803) 781-3321
Fax: (803) 781-4406
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2148 | South Carolina |
Profile Details
NPI number | 1114092707 |
---|---|
LBN Legal business name | Wietecha, Scott C |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114092707 | NPPES |
South Carolina | Other | 2148 | DENTAL LICENSE |
South Carolina | MEDICAID | ZZ2148 | DENTAL LICENSE |
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