O'Neal, Kyle H
O'Neal, Kyle H is an individual health care provider with primary practice located at 7011 Evans Town Center Blvd , Evans GA 30809-4315. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. O'Neal, Kyle H can be contacted via phone (706) 724-8735.Contact Information
Primary practice address
7011 Evans Town Center Blvd
Evans GA 30809-4315
Phone: (706) 724-8735
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 11054 | Georgia |
Profile Details
| NPI number | 1922081355 |
|---|---|
| LBN Legal business name | O'Neal, Kyle H |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Feb 3rd, 2017 - about 7 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 | 1922081355 | NPPES |
| South Carolina | MEDICAID | ZG1054 | |
| South Carolina | MEDICAID | 000528734B |
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