Stanich, Kevin Ralph

Stanich, Kevin Ralph is an individual health care provider with primary practice located at 7265 Portage St Nw Suite A, Massillon OH 44646-7826. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Stanich, Kevin Ralph can be contacted via phone (330) 498-9730.

Contact Information

Primary practice address
7265 Portage St Nw Suite A Massillon OH 44646-7826
Phone: (330) 498-9730
Fax: (330) 498-9753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21036 Ohio

Profile Details

NPI number 1376542027
LBN Legal business name Stanich, Kevin Ralph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376542027 NPPES
Ohio MEDICAID 2414051
Ohio MEDICAID 030446553031

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