Wilson, Kevin Drew

Wilson, Kevin Drew is an individual health care provider with primary practice located at 154 Elm St , Milford NH 03055-4759. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wilson, Kevin Drew can be contacted via phone (603) 673-3332.

Contact Information

Primary practice address
154 Elm St Milford NH 03055-4759
Fax: (603) 672-5844
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3008 New Hampshire

Profile Details

NPI number 1649293531
LBN Legal business name Wilson, Kevin Drew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Feb 20th, 2008 - 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 1649293531 NPPES
New Hampshire MEDICAID 30300251

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