Kavetski, Louis

Kavetski, Louis is an individual health care provider with primary practice located at 1601 N Dickinson , Rusk TX 75785. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kavetski, Louis can be contacted via phone (903) 683-3421.

Contact Information

Primary practice address
1601 N Dickinson Rusk TX 75785
Phone: (903) 683-3421
Fax: (903) 683-7199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13639 Texas

Profile Details

NPI number 1053531673
LBN Legal business name Kavetski, Louis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2007
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 1053531673 NPPES
Texas MEDICAID P084A6310

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