Active NPIIndividual provider

Dr. Ken Thaher, DMD

Dentist in Avenel, New Jersey

NPI Number1194150078
Practice location
1030 Saint Georges Ave, Avenel, NJ 07001-1390
Fax
—
Last updated
September 10, 2013

Ken Thaher is a Dentist based in Avenel, NJ. Ken Thaher practices in Avenel, NJ and has the professional credentials of DMD. The NPI Number for Ken Thaher is 1194150078 and holds a License No. 22DI02550000 (NJ). The current practice location address for Ken Thaher is 1030 Saint Georges Ave, Avenel, NJ 07001-1390 and can be reached out via phone at 732-750-0707.

Provider Profile Details

NPI Number
1194150078
Provider Name
Ken Thaher
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1030 Saint Georges Ave, Avenel, NJ 07001-1390
Phone Number
732-750-0707
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
September 10, 2013
Last Update Date
September 10, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1030 Saint Georges Ave
Avenel, NJ 07001-1390
City
Avenel
Zip
07001-1390
Phone Number
732-750-0707
Avenel, NJ 07001Get directions →

Provider Business Mailing Address Details

Address
1030 Saint Georges Ave
Avenel, NJ 07001-1390
City
Avenel
State
NJ
Zip
07001-1390
Phone Number
732-750-0707

License Information

License Number
22DI02550000
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ken Thaher, DMD?

The NPI number of Dr. Ken Thaher, DMD is 1194150078. It was assigned on September 10, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Ken Thaher, DMD?

Dr. Ken Thaher, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02550000.

Where does Dr. Ken Thaher, DMD practice?

The practice location is 1030 Saint Georges Ave, Avenel, NJ 07001-1390. The office can be reached at 732-750-0707 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194150078 directly on the NPPES registry website.

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