Stevener, Keith Andrew
Stevener, Keith Andrew is an individual health care provider with primary practice located at 527 E Genesee St , Fayetteville NY 13066-1536. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stevener, Keith Andrew can be contacted via phone (315) 637-8213.Contact Information
Primary practice address
527 E Genesee St
Fayetteville NY 13066-1536
Phone: (315) 637-8213
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 50054495 | New York |
| Dental Providers / Dentist | 122300000X | TD-00-21 | New Mexico |
Profile Details
| NPI number | 1396976981 |
|---|---|
| LBN Legal business name | Stevener, Keith Andrew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2009 |
| Last updated | Oct 19th, 2011 - about 15 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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