Lassiter, Kevin

Lassiter, Kevin is an sole proprietor health care provider with primary practice located at 343 Warrior Rd Building 2115, Fort Stewart GA 31314. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Dental Providers / Dentist. Dental Providers / Prosthodontics is his primary health care specialty. Lassiter, Kevin can be contacted via phone (912) 767-1536.

Contact Information

Primary practice address
343 Warrior Rd Building 2115 Fort Stewart GA 31314
Phone: (912) 767-1536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X D-4521 Idaho
Dental Providers / Dentist 122300000X D-4521 Idaho

Profile Details

NPI number 1043621493
LBN Legal business name Lassiter, Kevin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2014
Last updated Mar 20th, 2023 - about 2 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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