Kiessling, Paul A
Kiessling, Paul A is an individual health care provider with primary practice located at 308 Tuckerton Road , Medford NJ 08055. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kiessling, Paul A can be contacted via phone (609) 654-2454.Contact Information
Primary practice address
308 Tuckerton Road
Medford NJ 08055
Phone: (609) 654-2454
Fax: (609) 654-6568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 9810 | New Jersey |
Profile Details
| NPI number | 1265589634 |
|---|---|
| LBN Legal business name | Kiessling, Paul A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265589634 | NPPES |
| New Jersey | MEDICAID | 1204807 |
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