Kanelos, Nicholas
Kanelos, Nicholas is an individual health care provider with primary practice located at 801 Central Ave , Dover NH 03820. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kanelos, Nicholas can be contacted via phone (603) 742-8844.Contact Information
Primary practice address
801 Central Ave
Dover NH 03820
Phone: (603) 742-8844
Fax: (603) 749-8882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2659 | New Hampshire |
| Dental Providers / Dentist | 122300000X | 18616 | Massachusetts |
Profile Details
| NPI number | 1750394490 |
|---|---|
| LBN Legal business name | Kanelos, Nicholas |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750394490 | NPPES |
| New Hampshire | MEDICAID | 30302243 |
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