Henner, Kevin Andrew

Henner, Kevin Andrew is an sole proprietor health care provider with primary practice located at 163 Half Hollow Rd. Suite One, Deer Park NY 11729. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Henner, Kevin Andrew can be contacted via phone (631) 667-2820.

Contact Information

Primary practice address
163 Half Hollow Rd. Suite One Deer Park NY 11729
Fax: (631) 667-3133
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 043020 New York

Profile Details

NPI number 1174623573
LBN Legal business name Henner, Kevin Andrew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
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.

Request for update

Popular Providers