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:

Map and Directions

Health care specialties

Specialty	Code	License #	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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