Zukaitis, Kelly Rachelle

Zukaitis, Kelly Rachelle is an individual health care provider with primary practice located at 991 W Hudson Blvd , Gastonia NC 28052-6430. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Zukaitis, Kelly Rachelle can be contacted via phone (704) 852-5294.

Contact Information

Primary practice address
991 W Hudson Blvd Gastonia NC 28052-6430
Phone: (704) 852-5294
Fax: (704) 853-5269
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 6708 North Carolina

Profile Details

NPI number 1255337150
LBN Legal business name Zukaitis, Kelly Rachelle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Feb 22nd, 2012 - about 12 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 1255337150 NPPES
North Carolina MEDICAID 90026

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