Backman, Kenneth

Backman, Kenneth is an individual health care provider with primary practice located at 1540 Beacon Street , Brookline MA 02446. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Backman, Kenneth can be contacted via phone (617) 566-6600.

Contact Information

Primary practice address
1540 Beacon Street Brookline MA 02446
Phone: (617) 566-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 12117 Massachusetts

Profile Details

NPI number 1134269921
LBN Legal business name Backman, Kenneth
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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