National Provider Identifier Database

K KEVIN NESHAT DDS MD PA
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

K. KEVIN NESHAT, DDS, MD, PA
8305 FALLS OF NEUSE RD
SUITE 105
RALEIGH, NC27615-3546
Phone: 919-841-1720
Fax: 919-841-1725
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for K. KEVIN NESHAT, DDS, MD, PA

NPI Number 1770637779
Legal business name
LBN
K. KEVIN NESHAT, DDS, MD, PA
Authorized official KHASHAYAR NESHAT - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/23/2007
Last updated 10/15/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 6503
  • NC Other: 902AF BCBS
  • NC Other: 2428852 MEDICARE ID P10#

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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