Pickett, Kenneth R
Pickett, Kenneth R is an individual health care provider with primary practice located at 1020 E Ogden Ave Suite 308, Naperville IL 60563-8609. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Dentist is his primary health care specialty. Pickett, Kenneth R can be contacted via phone (630) 527-0544.Contact Information
Primary practice address
1020 E Ogden Ave Suite 308
Naperville IL 60563-8609
Phone: (630) 527-0544
Fax: (630) 527-2433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois | |
| Dental Providers / Periodontics | 1223P0300X | Illinois |
Profile Details
| NPI number | 1396884599 |
|---|---|
| LBN Legal business name | Pickett, Kenneth R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 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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