Kent, Lawrence H
Kent, Lawrence H is an individual health care provider with primary practice located at 1912 Lexington Ave N , Roseville MN 55113-6113. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kent, Lawrence H can be contacted via phone (651) 636-2420.Contact Information
Primary practice address
1912 Lexington Ave N
Roseville MN 55113-6113
Phone: (651) 636-2420
Fax: (651) 482-6144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4197 | Wisconsin |
Profile Details
| NPI number | 1255337564 |
|---|---|
| LBN Legal business name | Kent, Lawrence H |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Oct 11th, 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 | 1255337564 | NPPES |
| Wisconsin | MEDICAID | 33703200 |
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