Nicholas, Kenton C

Nicholas, Kenton C is an individual health care provider with primary practice located at 1900 16Th St , Greeley CO 80631-5114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Nicholas, Kenton C can be contacted via phone (970) 350-2458.

Contact Information

Primary practice address
1900 16Th St Greeley CO 80631-5114
Phone: (970) 350-2458
Fax: (970) 392-4715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 604 Colorado

Profile Details

NPI number 1407834120
LBN Legal business name Nicholas, Kenton C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated May 2nd, 2012 - about 12 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 1407834120 NPPES
Colorado Other P00944805 MEDICARE RAILROAD CARRIER PTAN
Colorado MEDICAID 02006047 MEDICARE RAILROAD CARRIER PTAN

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