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Contact Information

KEVIN KRYDER, DDS
3202 E GREENWAY RD STE 1287
PHOENIX, AZ85032-4550
 Phone: 503-887-0181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist Anesthesiologist

1223D0004X
Indicates primary specialty

NPI Profile & details for KEVIN KRYDER · (Male)

NPI # 1083015101
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/08/2014
Last updated 05/15/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # D012102
Hospital affiliation(s) Not Available
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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