Plummer, Kevin D

Plummer, Kevin D is an individual health care provider with primary practice located at 1430 John Wesley Gilbert Drive Gc-1024, Augusta GA 30912-1001. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Plummer, Kevin D can be contacted via phone (706) 721-9633.

Contact Information

Primary practice address

1430 John Wesley Gilbert Drive Gc-1024 Augusta GA 30912-1001

Phone: (706) 721-9633

Fax: (706) 721-0266

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / Prosthodontics	1223P0700X	DN009088	Georgia

Profile Details

NPI number	1194772053
LBN Legal business name	Plummer, Kevin D
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	May 27th, 2006
Last updated	Jan 12th, 2012 - about 12 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

State	Type	Number	Issuer
All States	NPI	1194772053	NPPES
Georgia	MEDICAID	000877764A
Georgia	MEDICAID	ZG9088

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