Lassiter, Kevin
Lassiter, Kevin is an sole proprietor health care provider with primary practice located at 343 Warrior Rd Building 2115, Fort Stewart GA 31314. He recently has 2 registered licenses in different health care specialties including Dental Providers / Prosthodontics, Dental Providers / Dentist. Dental Providers / Prosthodontics is his primary health care specialty. Lassiter, Kevin can be contacted via phone (912) 767-1536.Contact Information
Primary practice address
343 Warrior Rd Building 2115
Fort Stewart GA 31314
Phone: (912) 767-1536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | D-4521 | Idaho |
| Dental Providers / Dentist | 122300000X | D-4521 | Idaho |
Profile Details
| NPI number | 1043621493 |
|---|---|
| LBN Legal business name | Lassiter, Kevin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2014 |
| Last updated | Mar 20th, 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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