Wieder, Kenneth
Wieder, Kenneth is an individual health care provider with primary practice located at 3915 Broadway , New York NY 10032-1565. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wieder, Kenneth can be contacted via phone (212) 567-5536.Contact Information
Primary practice address
3915 Broadway
New York NY 10032-1565
Phone: (212) 567-5536
Fax: (212) 202-6447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DRP447 | Florida |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 055352-1 | New York |
Profile Details
| NPI number | 1346300787 |
|---|---|
| LBN Legal business name | Wieder, Kenneth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Dec 13th, 2013 - about 12 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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