Sullivan, William Kevin

Sullivan, William Kevin is an individual health care provider with primary practice located at 100 Mcgregor St E-542, Manchester NH 03102-3730. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sullivan, William Kevin can be contacted via phone (603) 663-6226.

Contact Information

Primary practice address
100 Mcgregor St E-542 Manchester NH 03102-3730
Phone: (603) 663-6226
Fax: (603) 663-7800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3221 New Hampshire

Profile Details

NPI number 1659375384
LBN Legal business name Sullivan, William Kevin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Aug 17th, 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 1659375384 NPPES
New Hampshire MEDICAID 30301692

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