Upton, Kevin Comer

Upton, Kevin Comer is an individual health care provider with primary practice located at 101 S Brooks St , Wake Forest NC 27587. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Upton, Kevin Comer can be contacted via phone (919) 556-2996.

Contact Information

Primary practice address
101 S Brooks St Wake Forest NC 27587
Fax: (919) 556-6295
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X NC5340 North Carolina

Profile Details

NPI number 1073728978
LBN Legal business name Upton, Kevin Comer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
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 1073728978 NPPES
North Carolina MEDICAID 8998756

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