Koblan, Peter Michael

Koblan, Peter Michael is an sole proprietor health care provider with primary practice located at 554 Larkfield Rd Suite 107, East Northport NY 11731-4205. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Koblan, Peter Michael can be contacted via phone (631) 368-2660.

Contact Information

Primary practice address
554 Larkfield Rd Suite 107 East Northport NY 11731-4205
Phone: (631) 368-2660
Fax: (631) 368-2668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 046284 New York

Profile Details

NPI number 1124346887
LBN Legal business name Koblan, Peter Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2010
Last updated May 5th, 2010 - about 14 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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