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
Fax: (910) 763-8129
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033200597 NPPES
Other 545827 UNITED CONCORDIA
Other 9009Y UNITED CONCORDIA

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