Kissell, David Michael
Kissell, David Michael is an individual health care provider with primary practice located at 80 Washington Street B9 Washington Square, Norwell MA 02061. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Kissell, David Michael can be contacted via phone (781) 871-8864.Contact Information
Primary practice address
80 Washington Street B9 Washington Square
Norwell MA 02061
Phone: (781) 871-8864
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 12290 | Massachusetts |
Profile Details
| NPI number | 1083726707 |
|---|---|
| LBN Legal business name | Kissell, David Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| 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 | 1083726707 | NPPES |
| Massachusetts | Other | XO3801KI | BC BS MA |
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