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KENNY DURANDIS NPI 1992893283


NPI Information

NPI: 1992893283
Provider Name: KENNY DURANDIS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
715 CRESCENT ST STE 9A
BROCKTON, MA
ZIP 02302
Phone: (508) 894-3001
Get Directions

Kenny Durandis is a general practice dentist in Brockton, MA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Kenny Durandis NPI is 1992893283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

715 CRESCENT ST STE 9A
BROCKTON, MA
ZIP 02302-363
Phone: (508) 894-3001

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDEN1000580DISTRICT OF COLUMBIANo
21223G0001XDentistGeneral Practice20386MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10296996MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.