Kingston, Joseph S

Kingston, Joseph S is an sole proprietor health care provider with primary practice located at 61 Hersey Ave , Bangor ME 04401-4443. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Kingston, Joseph S can be contacted via phone (207) 942-1743.

Contact Information

Primary practice address
61 Hersey Ave Bangor ME 04401-4443
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X 5515 Maine

Profile Details

NPI number 1700015526
LBN Legal business name Kingston, Joseph S
Credentials ED.D; LD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2009
Last updated Jul 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700015526 NPPES
Maine MEDICAID 1700015526

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