Fahey, Kevin Mark

Fahey, Kevin Mark is an individual health care provider with primary practice located at 600 East Genesee St , Syracuse NY 13202. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Fahey, Kevin Mark can be contacted via phone (315) 476-7406.

Contact Information

Primary practice address
600 East Genesee St Syracuse NY 13202
Phone: (315) 476-7406
Fax: (315) 476-7408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X NY050049 New York
Dental Providers / Endodontics 1223E0200X DN15647 Florida

Profile Details

NPI number 1124210919
LBN Legal business name Fahey, Kevin Mark
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Aug 15th, 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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