Witherspoon, Walter Pennington

Witherspoon, Walter Pennington is an individual health care provider with primary practice located at 205 Medical Cir , West Columbia SC 29169-3653. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is his primary health care specialty. Witherspoon, Walter Pennington can be contacted via phone (803) 796-5300.

Contact Information

Primary practice address
205 Medical Cir West Columbia SC 29169-3653
Phone: (803) 796-5300
Fax: (803) 796-5301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1304 South Carolina
Dental Providers / Dentist 122300000X 94 South Carolina
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 1304 South Carolina
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 94 South Carolina

Profile Details

NPI number 1689647307
LBN Legal business name Witherspoon, Walter Pennington
Credentials DDS MSO
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689647307 NPPES
South Carolina Other 213041 DEPT OF HLTH & HUMAN SVS

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