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Contact Information

ALEXIS L BORGESTAD
645 WACHESAW RD
MURRELLS INLET, SC29576-5633
 Phone: 843-357-9845
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ALEXIS L BORGESTAD · (Female)

NPI # 1740873512
Status Active
Credentials
Entity Individual
Enumeration date 02/12/2021
Last updated 07/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • SC License # DGD.10578
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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