O'Connor, Kevin Thomas

O'Connor, Kevin Thomas is an sole proprietor health care provider with primary practice located at 244 Westchester Ave Suite 216, White Plains NY 10604-2907. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. O'Connor, Kevin Thomas can be contacted via phone (914) 761-4090.

Contact Information

Primary practice address
244 Westchester Ave Suite 216 White Plains NY 10604-2907
Fax: (914) 761-5168
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 031858 New York

Profile Details

NPI number 1679628812
LBN Legal business name O'Connor, Kevin Thomas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 9th, 2007 - about 17 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 1679628812 NPPES
New York MEDICAID 01621874

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