KERNAN DENTISTRY NPI 1942202692

NPI Information

NPI: 1942202692
Provider Name: KERNAN DENTISTRY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2200 KERNAN DR
DENTAL SUITE T500
BALTIMORE, MD
ZIP 21207
Phone: (410) 448-6290
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KERNAN DENTISTRY is a dental clinic center in Baltimore, MD. KERNAN DENTISTRY NPI is 1942202692. The provider is registered as an organization entity type.

The provider's business location address is:

2200 KERNAN DR
DENTAL SUITE T500
BALTIMORE, MD
ZIP 21207-665
Phone: (410) 448-6290
Fax: (410) 448-6883

The provider's authorized official is Marina Bogin .
The authorized official title is Cfo and has the following contact phone number (410) 448-6289.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 6/27/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental		MARYLAND	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9282-1	OTHER	MARYLAND	UNITED HEALTHCARE ID
2	S165	OTHER	MARYLAND	DENTAL NETWORK ID
3	105664	OTHER	MARYLAND	DORAL DENTAL LOCATION ID
4	164252	OTHER	MARYLAND	DORAL DENTAL PAYOR ID
5	800194400	MEDICAID	MARYLAND

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

NPI Synchronization or Removal

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