Grant, Kevin Joseph

Grant, Kevin Joseph is an individual health care provider with primary practice located at 8752A Parsons Blvd , Jamaica NY 11432-3317. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grant, Kevin Joseph can be contacted via phone (718) 523-7679.

Contact Information

Primary practice address
8752A Parsons Blvd Jamaica NY 11432-3317
Phone: (718) 523-7679
Fax: (718) 523-7689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 044444 New York

Profile Details

NPI number 1407853492
LBN Legal business name Grant, Kevin Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1407853492 NPPES
New York MEDICAID 01383568
New York Other 9176530

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