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:
Health care specialties
| Specialty | Code | License # | 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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