Antonelli, Kenneth

Antonelli, Kenneth is an sole proprietor health care provider with primary practice located at 5788 Ridge Rd , Parma OH 44129-3168. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Antonelli, Kenneth can be contacted via phone (440) 886-4100.

Contact Information

Primary practice address
5788 Ridge Rd Parma OH 44129-3168
Fax: (512) 498-0288
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17771 Ohio

Profile Details

NPI number 1538205828
LBN Legal business name Antonelli, Kenneth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - 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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