Kirk, Michael Dietrich

Kirk, Michael Dietrich is an individual health care provider with primary practice located at 1173 Whipple St Nhcne Newport Dental Clinic, Newport RI 02841-1632. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kirk, Michael Dietrich can be contacted via phone (401) 841-2541.

Contact Information

Primary practice address
1173 Whipple St Nhcne Newport Dental Clinic Newport RI 02841-1632
Phone: (401) 841-2541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 011112 Connecticut
Dental Providers / General Practice 1223G0001X 0401414174 Virginia

Profile Details

NPI number 1861819559
LBN Legal business name Kirk, Michael Dietrich
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2014
Last updated Mar 20th, 2014 - about 12 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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