KENNETH M. BURTNER (NPI# 1801976162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801976162 |
| Entity Type | Individual |
| Full Name | KENNETH M. BURTNER |
| Credential | DMD |
| Practice Address |
105 Ben Casey Dr Suite 115 Fort Mill SC 29708-8561 |
| Practice Telephone | 8035489910 |
| Practice Fax Number | 8035489915 |
| Mailing Telephone | 8035489910 |
| Mailing Fax Number | 8035489915 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
3553/611 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9491 | 05 | |
| NC | 5903373 | 05 |
| Street Address |
105 BEN CASEY DR SUITE 115 |
| City | FORT MILL |
| State | SC |
| Zip Code | 29708-8561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508826025 | Palmetto Rehabilitation Specialists, LLC | Physical Therapist | 105 Ben Casey Dr, Suite 127, Fort Mill, SC 29708-8561 | 2006-03-27 |
| 1295279180 | Biehl and Welch Cosmetic and Family Dentistry | Dentist | 105 Ben Casey Dr, Suite 139, Fort Mill, SC 29708-8561 | 2016-12-12 |
| 1316368798 | Kim Harnett | Physical Therapist | 105 Ben Casey Dr, Suite 127, Fort Mill, SC 29708-8561 | 2014-01-02 |
| 1477723724 | Alpine Podiatry Center, Pa | Podiatrist | 105 Ben Casey Dr, Suite 133, Fort Mill, SC 29708-8561 | 2008-03-03 |
| 1093848368 | Carolina Oral & Maxillofacial Surgery | Dentist | 105 Ben Casey Dr, Suite 115, Fort Mill, SC 29708-8561 | 2007-03-14 |
| 1548325236 | Mahmoud Karimipour | Dentist | 105 Ben Casey Dr, Suite # 121, Fort Mill, SC 29708-8561 | 2006-12-24 |
| 1770535213 | Brian Lee Biehl | Dentist | 105 Ben Casey Dr, Suite 139, Fort Mill, SC 29708-6478 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
| 1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
| 1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
| 1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
| 1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
| 1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
| 1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
| 1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
| Find all providers in zip 29708 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457463572 | Jonna J Moreschi Dmd PC | Dentist | 1021 Maxwell Mill Road, Suite #e, Fort Mill, SC 29708 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407067473 | Northeast Oral & Maxillofacial | Dentist | 1118 Greenlawn Dr, Columbia, SC 29209-2606 | 2007-05-24 |
| 1174656540 | River Falls Oral Surgery | Dentist | 700 Squires Pt, Duncan, SC 29334-8879 | 2007-03-14 |
| 1871606830 | Jonathan M Lafond | Dentist | 455 Old Trolley Rd, Ste E, Summerville, SC 29485-5669 | 2006-08-16 |
| 1982622585 | Derek T Dunlap | Dentist | 700 Squire's Pointe Drive, Suite A, Duncan, SC 29334 | 2006-07-18 |
| 1831156777 | Larry Wayne Cobb | Dentist | 2c Cleveland Ct, Greenville, SC 29607-2414 | 2006-04-26 |
| 1912969502 | Theresa Sullivan Gonzales | Dentist | 173 Ashley Avenue Msc 507, Charleston, SC 29401 | 2006-04-06 |
| 1891774162 | Thomas Herbert Simpson Jr. | Dentist | 372 S Herlong Ave, Rock Hill, SC 29732 | 2006-01-13 |
| 1639593254 | Medical University of South Carolina | Dentist | 173 Ashley Ave, Charleston, SC 29425-8908 | 2014-02-18 |
| 1194026153 | Medical University of Sc | Dentist | 173 Ashley Ave, Charleston, SC 29425-8908 | 2010-11-08 |
| 1396904405 | Christel Maria Haberland | Dentist | 171 Ashley Ave, Charleston, SC 29425-4804 | 2008-06-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.