Fallert, Kevin Robert

Fallert, Kevin Robert is an individual health care provider with primary practice located at 408 S Broadview St , Cape Girardeau MO 63703-5725. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fallert, Kevin Robert can be contacted via phone (573) 332-0808.

Contact Information

Primary practice address
408 S Broadview St Cape Girardeau MO 63703-5725
Phone: (573) 332-0808
Fax: (573) 339-7945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11 Missouri

Profile Details

NPI number 1518126689
LBN Legal business name Fallert, Kevin Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Jun 4th, 2008 - 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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