Persily, Kevin Bruce

Persily, Kevin Bruce is an individual health care provider with primary practice located at 412 Pleasant Valley Way , West Orange NJ 07052. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Persily, Kevin Bruce can be contacted via phone (973) 731-2468.

Contact Information

Primary practice address
412 Pleasant Valley Way West Orange NJ 07052
Phone: (973) 731-2468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12019 New Jersey
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 22DI01201900 New Jersey

Profile Details

NPI number 1861532053
LBN Legal business name Persily, Kevin Bruce
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 26th, 2024 - about 2 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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