Connelly, Kevin M

Connelly, Kevin M is an sole proprietor health care provider with primary practice located at 1065 Lisbon St , Lewiston ME 04240-5749. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Connelly, Kevin M can be contacted via phone (207) 376-4977.

Contact Information

Primary practice address
1065 Lisbon St Lewiston ME 04240-5749
Fax: (207) 376-4979
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3619 Maine

Profile Details

NPI number 1881789824
LBN Legal business name Connelly, Kevin M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Feb 20th, 2012 - about 14 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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