Kellogg, Robert Thomas
Kellogg, Robert Thomas is an individual health care provider with primary practice located at 1058 South Main Street , Meadville PA 16335. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kellogg, Robert Thomas can be contacted via phone (814) 724-4508.Contact Information
Primary practice address
1058 South Main Street
Meadville PA 16335
Phone: (814) 724-4508
Fax: (814) 337-1405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS016898L | Pennsylvania |
Profile Details
| NPI number | 1164560660 |
|---|---|
| LBN Legal business name | Kellogg, Robert Thomas |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1164560660 | NPPES |
| Pennsylvania | MEDICAID | 0008937830001 |
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