Divaris, Kimon

Divaris, Kimon is an individual health care provider with primary practice located at Unc School Of Dentistry Dept Of Pediatric Dentistry 228 Brauer Hall Cb #7450, Chapel Hill NC 27599-7450. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Divaris, Kimon can be contacted via phone (919) 537-3556.

Contact Information

Primary practice address
Unc School Of Dentistry Dept Of Pediatric Dentistry 228 Brauer Hall Cb #7450 Chapel Hill NC 27599-7450
Phone: (919) 537-3556
Fax: (919) 537-3950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12644 North Carolina

Profile Details

NPI number 1427246867
LBN Legal business name Divaris, Kimon
Credentials D.D.S., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2007
Last updated May 28th, 2024 - about 7 months 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 1427246867 NPPES
North Carolina MEDICAID 5921506

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