Ellis, Kevin John

Ellis, Kevin John is an individual health care provider with primary practice located at 205 34Th St Suite 112, Virginia Beach VA 23451-2836. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ellis, Kevin John can be contacted via phone (757) 428-5491.

Contact Information

Primary practice address
205 34Th St Suite 112 Virginia Beach VA 23451-2836
Phone: (757) 428-5491
Fax: (757) 428-7663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7176 Virginia

Profile Details

NPI number 1477526069
LBN Legal business name Ellis, Kevin John
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 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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