Meiss, Kenneth Delaine
Meiss, Kenneth Delaine is an individual health care provider with primary practice located at 910 W Glen Ave , Peoria IL 61614-4879. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Meiss, Kenneth Delaine can be contacted via phone (309) 682-9802.Contact Information
Primary practice address
910 W Glen Ave
Peoria IL 61614-4879
Phone: (309) 682-9802
Fax: (309) 682-9809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019-024524 | Illinois |
Profile Details
| NPI number | 1336294537 |
|---|---|
| LBN Legal business name | Meiss, Kenneth Delaine |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Feb 20th, 2015 - about 11 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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