Ciampa, Peter R

Ciampa, Peter R is an sole proprietor health care provider with primary practice located at 200 Medical Center Dr , Paducah KY 42003-7911. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Dentist. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Ciampa, Peter R can be contacted via phone (270) 442-4374.

Contact Information

Primary practice address
200 Medical Center Dr Paducah KY 42003-7911
Phone: (270) 442-4374
Fax: (270) 442-1878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5552 Kentucky
Dental Providers / Dentist 122300000X 5552 Kentucky

Profile Details

NPI number 1346379948
LBN Legal business name Ciampa, Peter R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated May 14th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346379948 NPPES
Kentucky MEDICAID 64055528
Kentucky Other 5425050
Kentucky MEDICAID 60055522

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