O'Neill, Kevan
O'Neill, Kevan is an individual health care provider with primary practice located at 2 Dudley St Moc 180, Providence RI 02905-3236. He recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. O'Neill, Kevan can be contacted via phone (401) 444-2299.Contact Information
Primary practice address
2 Dudley St Moc 180
Providence RI 02905-3236
Phone: (401) 444-2299
Fax: (401) 444-2924
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 056003 | New York |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DEN03205 | Rhode Island |
Dental Providers / Dentist | 122300000X | 30.024958 | Ohio |
Profile Details
NPI number | 1528329372 |
---|---|
LBN Legal business name | O'Neill, Kevan |
Credentials | DDS, MDS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2012 |
Last updated | Oct 16th, 2023 - about last year |
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 | 1528329372 | NPPES |
Ohio | MEDICAID | 0462064 |
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