Green, Kevan S

Green, Kevan S is an sole proprietor health care provider with primary practice located at 215 E Baltimore Ave , Clifton Heights PA 19018-1605. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Green, Kevan S can be contacted via phone (610) 623-4493.

Contact Information

Primary practice address
215 E Baltimore Ave Clifton Heights PA 19018-1605
Phone: (610) 623-4493
Fax: (610) 623-0871
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 22DI01467000 New Jersey
Dental Providers / Periodontics 1223P0300X DS024064L Pennsylvania

Profile Details

NPI number 1518008093
LBN Legal business name Green, Kevan S
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated May 12th, 2008 - about 16 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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