Addink, Ken L

Addink, Ken L is an individual health care provider with primary practice located at 159 S Main Ave , Sioux Center IA 51250-1535. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Addink, Ken L can be contacted via phone (712) 722-2618.

Contact Information

Primary practice address
159 S Main Ave Sioux Center IA 51250-1535
Phone: (712) 722-2618
Fax: (712) 722-2638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6232 Iowa

Profile Details

NPI number 1851372940
LBN Legal business name Addink, Ken L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jan 29th, 2008 - about 18 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 1851372940 NPPES
Iowa MEDICAID 0146829
Iowa Other 0739029

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