Kievit, Alyssa
Kievit, Alyssa is an individual health care provider with primary practice located at 901 Farmington Ave Ste 201 , West Hartford CT 06119-1418. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Kievit, Alyssa can be contacted via phone (860) 232-4511.Contact Information
Primary practice address
901 Farmington Ave Ste 201
West Hartford CT 06119-1418
Phone: (860) 232-4511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / General Practice | 1223G0001X | 11164 | Connecticut |
Profile Details
| NPI number | 1578804795 |
|---|---|
| LBN Legal business name | Kievit, Alyssa |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2013 |
| Last updated | Mar 17th, 2018 - about 8 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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