Kevin M Raines in Lexington - Pediatric Dentistry

Kevin M Raines - NPI 1750457222

Kevin M Raines is a Pediatric Dentistry in Lexington, South Carolina. Kevin M Raines practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kevin M Raines is 1750457222. The last update date is 2007-07-09.

Kevin M Raines's current location address is 139 Whiteford Way, Lexington, South Carolina. You can contact this provider via phone number 8039519100 and fax number 8039511910. The mailing address for Kevin M Raines is 139 Whiteford Way, Lexington, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin M Raines
Address 139 Whiteford Way, Lexington, South Carolina
Phone Number 8039519100
Fax Number 8039511910
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1750457222
Provider Enumeration Date 2006-11-28
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 139 Whiteford Way
City Lexington
State South Carolina (SC)
Post Code 290727965
Phone Number 8039519100
Fax Number 8039511910

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 3453-0523PD
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZX3453 SC --

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FAQs about Kevin M Raines

What is the unique 10-digit identifier code assigned to Kevin M Raines by the Centers for Medicare & Medicaid Services?

The Kevin M Raines has been issued the NPI (National Provider Identifier) 1750457222 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kevin M Raines's facilities are situated?

The facilities of Kevin M Raines are physically located at the following address: 139 Whiteford Way, Lexington, SC, 290727965.

What is the area of specialization for Kevin M Raines, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kevin M Raines is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.

On what date did Kevin M Raines receive its 1750457222 assignment from the Centers for Medicare & Medicaid Services?

The Kevin M Raines was assigned its 1750457222 on 2006-11-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kevin M Raines last refreshed?

The information related to the Kevin M Raines, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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