Kreider, Kevin Michael

Kreider, Kevin Michael is an individual health care provider with primary practice located at 2220 Grube St , Springfield OH 45503-2643. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kreider, Kevin Michael can be contacted via phone (937) 390-3050.

Contact Information

Primary practice address
2220 Grube St Springfield OH 45503-2643
Phone: (937) 390-3050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30014962 Ohio

Profile Details

NPI number 1447396197
LBN Legal business name Kreider, Kevin Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 18 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 1447396197 NPPES
Ohio MEDICAID 0291287
Ohio Other 30014962

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