Martin, Kevin Mathew

Martin, Kevin Mathew is an sole proprietor health care provider with primary practice located at 9450 W Russell Rd Ste 102 , Las Vegas NV 89148-5690. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Martin, Kevin Mathew can be contacted via phone (702) 312-2273.

Contact Information

Primary practice address
9450 W Russell Rd Ste 102 Las Vegas NV 89148-5690
Phone: (702) 312-2273
Fax: (702) 312-2276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X S2-26 Nevada

Profile Details

NPI number 1952376295
LBN Legal business name Martin, Kevin Mathew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2006
Last updated Sep 3rd, 2020 - about 4 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 1952376295 NPPES
Nevada MEDICAID 002202729

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