Anderson, Keon
Anderson, Keon is an individual health care provider with primary practice located at 100 N Lamar St , Fort Worth TX 76196-0216. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Anderson, Keon can be contacted via phone (817) 702-3567.Contact Information
Primary practice address
100 N Lamar St
Fort Worth TX 76196-0216
Phone: (817) 702-3567
Fax: (817) 569-1421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 31042 | Texas |
Profile Details
| NPI number | 1891178539 |
|---|---|
| LBN Legal business name | Anderson, Keon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2015 |
| Last updated | Oct 3rd, 2018 - about 6 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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