Vibert, Keith Jerry

Vibert, Keith Jerry is an individual health care provider with primary practice located at Stony Brook University Hospital Medical Staff Office T9, Stony Brook NY 11794-7097. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Vibert, Keith Jerry can be contacted via phone (631) 444-2754.

Contact Information

Primary practice address
Stony Brook University Hospital Medical Staff Office T9 Stony Brook NY 11794-7097
Fax: (631) 444-6031
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 055638 New York

Profile Details

NPI number 1881911063
LBN Legal business name Vibert, Keith Jerry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2010
Last updated Nov 13th, 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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