Lapolla, Kenneth Dominic

Lapolla, Kenneth Dominic is an individual health care provider with primary practice located at 8588 E Market St , Warren OH 44484-2339. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lapolla, Kenneth Dominic can be contacted via phone (330) 609-6565.

Contact Information

Primary practice address
8588 E Market St Warren OH 44484-2339
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3019432 Ohio

Profile Details

NPI number 1295731859
LBN Legal business name Lapolla, Kenneth Dominic
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295731859 NPPES
Ohio MEDICAID 0995697

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