Kenneth M Burtner, DMD | |
105 Ben Casey Dr, Suite 115, Fort Mill, SC 29708-8561 | |
(803) 548-9910 | |
(803) 548-9915 |
Full Name | Kenneth M Burtner |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Pathology |
Location | 105 Ben Casey Dr, Fort Mill, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801976162 | NPI | - | NPPES |
ZA9491 | Medicaid | SC | |
5903373 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | 3553/611 (South Carolina) | Primary |
Entity Name | Carolina Oms Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487345344 PECOS PAC ID: 6204296825 Enrollment ID: O20230714000491 |
Mailing Address | Practice Location Address |
---|---|
Kenneth M Burtner, DMD 105 Ben Casey Dr, Suite 115, Fort Mill, SC 29708-8561 Ph: (803) 548-9910 | Kenneth M Burtner, DMD 105 Ben Casey Dr, Suite 115, Fort Mill, SC 29708-8561 Ph: (803) 548-9910 |
Dr. David E Woolston, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1075 Market St, Fort Mill, SC 29708 Phone: 919-802-2131 | |
Dr. Arnold Lavaughan Batchelor Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 117-a Spratt Street, Fort Mill, SC 29715 Phone: 803-548-2191 | |
Dr. Logan B Ebersold, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 N Dobys Bridge Rd Ste 108, Fort Mill, SC 29715 Phone: 803-396-5888 Fax: 803-396-5896 | |
Dr. Riddhi Patel, DMD Dentist Medicare: Medicare Enrolled Practice Location: 481 Munn Rd Ste 100, Fort Mill, SC 29715 Phone: 704-323-5390 Fax: 513-585-5511 | |
Dr. Laura Hanson Vaccariello, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 482 Mercantile Pl, Ste 104, Fort Mill, SC 29715 Phone: 803-548-4255 Fax: 803-409-0333 | |
Michael D Riordan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1741 Gold Hill Rd, Suite 200, Fort Mill, SC 29708 Phone: 803-802-2580 Fax: 803-802-3075 | |
Dr. Nathan Edward Beam, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 936 Market St, Suite 206, Fort Mill, SC 29708 Phone: 803-548-4400 Fax: 803-548-4414 |