Provider Demographics
NPI:1770704017
Name:SOLIDAY, KEVIN B (DDS)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:B
Last Name:SOLIDAY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-3653
Mailing Address - Country:US
Mailing Address - Phone:717-632-8818
Mailing Address - Fax:
Practice Address - Street 1:238 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-3653
Practice Address - Country:US
Practice Address - Phone:717-632-8818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027937L122300000X
MD13104122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist