Koval, Yuriy Z
Koval, Yuriy Z is an sole proprietor health care provider with primary practice located at 1250 Mann Dr Suite 100, Matthews NC 28105-5543. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Koval, Yuriy Z can be contacted via phone (704) 234-0138.Contact Information
Primary practice address
1250 Mann Dr Suite 100
Matthews NC 28105-5543
Phone: (704) 234-0138
Fax: (855) 273-3784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8467 | North Carolina |
Profile Details
| NPI number | 1316131006 |
|---|---|
| LBN Legal business name | Koval, Yuriy Z |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Aug 30th, 2016 - about 9 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 | 1316131006 | NPPES |
| North Carolina | MEDICAID | 5907990 |
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