Mckenzie, Javon A.
Mckenzie, Javon A. is an individual health care provider with primary practice located at 3227 W Blue Ridge Dr , Greenville SC 29611-3905. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mckenzie, Javon A. can be contacted via phone (864) 295-8888.Contact Information
Primary practice address
3227 W Blue Ridge Dr
Greenville SC 29611-3905
Phone: (864) 295-8888
Fax: (864) 295-1241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3977 | South Carolina |
Profile Details
| NPI number | 1073513172 |
|---|---|
| LBN Legal business name | Mckenzie, Javon A. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Aug 7th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073513172 | NPPES |
| South Carolina | MEDICAID | ZX-3977 |
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