Duval-Austin, Sophie

Duval-Austin, Sophie is an sole proprietor health care provider with primary practice located at 25 Town Center Blvd Suite 202, Crestview Hills KY 41017-2417. She recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / General Practice. Dental Providers / Pediatric Dentistry is her primary health care specialty. Duval-Austin, Sophie can be contacted via phone (859) 344-6200.

Contact Information

Primary practice address
25 Town Center Blvd Suite 202 Crestview Hills KY 41017-2417
Fax: (859) 344-0980
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 8183 Kentucky
Dental Providers / General Practice 1223G0001X 8183 Kentucky

Profile Details

NPI number 1316094329
LBN Legal business name Duval-Austin, Sophie
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Aug 29th, 2013 - about 11 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 1316094329 NPPES
Kentucky MEDICAID 7100004690

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