Kimmel, Jeffrey Wolf

Kimmel, Jeffrey Wolf is an individual health care provider with primary practice located at 102 Irene Lane , Commack NY 11725-3934. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kimmel, Jeffrey Wolf can be contacted via phone (631) 499-0099.

Contact Information

Primary practice address
102 Irene Lane Commack NY 11725-3934
Phone: (631) 499-0099
Fax: (631) 858-1753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21755 New York

Profile Details

NPI number 1518043330
LBN Legal business name Kimmel, Jeffrey Wolf
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518043330 NPPES
New York Other 21755 DDS

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