Okada, Kelby M

Okada, Kelby M is an sole proprietor health care provider with primary practice located at 3412 E Us Highway 377 , Granbury TX 76049. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Okada, Kelby M can be contacted via phone (817) 776-8073.

Contact Information

Primary practice address
3412 E Us Highway 377 Granbury TX 76049
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS040979 Pennsylvania
Dental Providers / General Practice 1223G0001X 33368 Texas

Profile Details

NPI number 1972956647
LBN Legal business name Okada, Kelby M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2016
Last updated Jan 24th, 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.

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