Kirkwood, Justin James
Kirkwood, Justin James is an individual health care provider with primary practice located at 401 Township Line Rd Ste C , Elkins Park PA 19027-2277. He 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 / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Kirkwood, Justin James can be contacted via phone (215) 379-3382.Contact Information
Primary practice address
401 Township Line Rd Ste C
Elkins Park PA 19027-2277
Phone: (215) 379-3382
Fax: (513) 584-1125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DS044094 | Pennsylvania |
Profile Details
| NPI number | 1700348653 |
|---|---|
| LBN Legal business name | Kirkwood, Justin James |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2019 |
| Last updated | Sep 1st, 2023 - about 3 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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