National Provider Identifier Database

LEROY A KAMELCHUK, DDS – NPI #1528101698
Oral & Maxillofacial Surgery


Contact Information

LEROY A KAMELCHUK, DDS
1107 GLENEAGLES DR SW
HUNTSVILLE, AL35801-6405
Phone: 256-882-3312
Fax: 256-882-9472
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X

* Indicates primary specialty

NPI Profile & details for LEROY A KAMELCHUK

NPI Number 1528101698
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 02/15/2007
Last updated 08/16/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • AL License #: 20060
  • AL License #: 4438
  • AL Other: 51527421 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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