Wisser, Kenneth J.
Wisser, Kenneth J. is an individual health care provider with primary practice located at G5399 N Saginaw St , Flint MI 48505-1536. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Wisser, Kenneth J. can be contacted via phone (810) 785-0863.Contact Information
Primary practice address
G5399 N Saginaw St
Flint MI 48505-1536
Phone: (810) 785-0863
Fax: (810) 785-0865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | D10989 040 | Michigan |
Profile Details
| NPI number | 1518929363 |
|---|---|
| LBN Legal business name | Wisser, Kenneth J. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Oct 15th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518929363 | NPPES |
| Michigan | Other | 382406558 | TAX ID |
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