Thompson, Kacey-Ann
Thompson, Kacey-Ann is an sole proprietor health care provider with primary practice located at 128 Stevens Ave , Mount Vernon NY 10550-2634. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Thompson, Kacey-Ann can be contacted via phone (914) 668-2772.Contact Information
Primary practice address
128 Stevens Ave
Mount Vernon NY 10550-2634
Phone: (914) 668-2772
Fax: (914) 668-2657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6628-15 | Wisconsin |
| Dental Providers / General Practice | 1223G0001X | 056542 | New York |
Profile Details
| NPI number | 1538469820 |
|---|---|
| LBN Legal business name | Thompson, Kacey-Ann |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2010 |
| Last updated | Dec 14th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538469820 | NPPES |
| New York | MEDICAID | 1538469820 | |
| New York | MEDICAID | 390200000X |
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