Van Wagenen, Robert Kemp
Van Wagenen, Robert Kemp is an sole proprietor health care provider with primary practice located at 10590 Enduring Freedom Dr , Fort Drum NY 13602-5503. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Van Wagenen, Robert Kemp can be contacted via phone (719) 666-1879.Contact Information
Primary practice address
10590 Enduring Freedom Dr
Fort Drum NY 13602-5503
Phone: (719) 666-1879
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DEN.00202992 | Colorado |
Profile Details
| NPI number | 1942752837 |
|---|---|
| LBN Legal business name | Van Wagenen, Robert Kemp |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2016 |
| Last updated | Dec 11th, 2023 - about last year |
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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