Trombly, Kevin Louis

Trombly, Kevin Louis is an individual health care provider with primary practice located at 1575 Wilbraham Rd , Springfield MA 01119. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Trombly, Kevin Louis can be contacted via phone (413) 783-2582.

Contact Information

Primary practice address
1575 Wilbraham Rd Springfield MA 01119
Phone: (413) 783-2582
Fax: (413) 783-2583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 13241 Massachusetts

Profile Details

NPI number 1598876260
LBN Legal business name Trombly, Kevin Louis
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 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 1598876260 NPPES
Massachusetts MEDICAID 0250724

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