Keown, Marcy Lynn
Keown, Marcy Lynn is an individual health care provider with primary practice located at 1549 S Alafaya Trl Suite 200, Orlando FL 32828-8962. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Keown, Marcy Lynn can be contacted via phone (407) 482-1405.Contact Information
Primary practice address
1549 S Alafaya Trl Suite 200
Orlando FL 32828-8962
Phone: (407) 482-1405
Fax: (407) 482-1408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN17921 | Florida |
Profile Details
| NPI number | 1073734372 |
|---|---|
| LBN Legal business name | Keown, Marcy Lynn |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Dec 21st, 2009 - about 15 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 | 1073734372 | NPPES |
| Florida | MEDICAID | 001356800 |
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