Tiner, Kirk Elliott
Tiner, Kirk Elliott is an sole proprietor health care provider with primary practice located at 9184 E Stockton Blvd , Elk Grove CA 95624-9510. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Tiner, Kirk Elliott can be contacted via phone (916) 686-1101.Contact Information
Primary practice address
9184 E Stockton Blvd
Elk Grove CA 95624-9510
Phone: (916) 686-1101
Fax: (916) 714-3195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 38376 | California |
Profile Details
| NPI number | 1679691349 |
|---|---|
| LBN Legal business name | Tiner, Kirk Elliott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Feb 2nd, 2012 - about 13 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 | 1679691349 | NPPES |
| California | Other | G94015-01 | DENTI-CAL |
| California | Other | 20-4753840 | DENTI-CAL |
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