Keith, Harrison Leonidas
Keith, Harrison Leonidas is an individual health care provider with primary practice located at 1932 S 16Th St , Wilmington NC 28401-6611. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Keith, Harrison Leonidas can be contacted via phone (910) 763-8129.Contact Information
Primary practice address
1932 S 16Th St
Wilmington NC 28401-6611
Phone: (910) 763-8129
Fax: (910) 763-8129
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 6996 | North Carolina |
Dental Providers / General Practice | 1223G0001X | 6996 | North Carolina |
Profile Details
NPI number | 1033200597 |
---|---|
LBN Legal business name | Keith, Harrison Leonidas |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2006 |
Last updated | Sep 28th, 2023 - about last year |
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 | 1033200597 | NPPES |
Other | 545827 | UNITED CONCORDIA | |
Other | 9009Y | UNITED CONCORDIA |
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