Klevansky, Jason

Klevansky, Jason is an individual health care provider with primary practice located at 3455 Lawrenceville Hwy , Lawrenceville GA 30044-4101. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Klevansky, Jason can be contacted via phone (770) 921-1115.

Contact Information

Primary practice address
3455 Lawrenceville Hwy Lawrenceville GA 30044-4101
Phone: (770) 921-1115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS028119L Pennsylvania
Dental Providers / Dentist 122300000X DN012805 Georgia

Profile Details

NPI number 1053315952
LBN Legal business name Klevansky, Jason
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jul 21st, 2022 - about 3 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 1053315952 NPPES
Pennsylvania Other 157593 UNITED CONCORDIA

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