Wagschal, Kenneth

Wagschal, Kenneth is an individual health care provider with primary practice located at 11818 Rockaway Blvd , Jamaica NY 11420-2420. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wagschal, Kenneth can be contacted via phone (718) 843-5231.

Contact Information

Primary practice address
11818 Rockaway Blvd Jamaica NY 11420-2420
Phone: (718) 843-5231
Fax: (718) 843-1022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 035430 New York

Profile Details

NPI number 1477530079
LBN Legal business name Wagschal, Kenneth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477530079 NPPES
New York MEDICAID 00535084

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