Individual
KEVIN DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
709 WICKER ST STE A, SANFORD, NC 27330-4168
(718) 689-0169
Mailing address
14 ALLEN CT, STATEN ISLAND, NY 10310-2703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12633
CT
1223E0200X
Endodontics
Primary
13182
NC
Other
Enumeration date
11/08/2019
Last updated
05/28/2026
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