Maskell, Sean Adam

Maskell, Sean Adam is an individual health care provider with primary practice located at 722 Broadway , Brooklyn NY 11206-4403. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Maskell, Sean Adam can be contacted via phone (718) 387-1365.

Contact Information

Primary practice address
722 Broadway Brooklyn NY 11206-4403
Fax: (718) 486-5733
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 048012 New York

Profile Details

NPI number 1841280070
LBN Legal business name Maskell, Sean Adam
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated May 31st, 2012 - about 13 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 1841280070 NPPES
New York MEDICAID 01911480

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