Davis, Ken

Davis, Ken is an individual health care provider with primary practice located at 33 Sicomac Rd , North Haledon NJ 07508-2971. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davis, Ken can be contacted via phone (973) 427-0300.

Contact Information

Primary practice address
33 Sicomac Rd North Haledon NJ 07508-2971
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI00804100 New Jersey
Dental Providers / General Practice 1223G0001X 008041 New Jersey

Profile Details

NPI number 1396837456
LBN Legal business name Davis, Ken
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
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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