Active NPIIndividual provider

Dr. Jack D Kemper, DMD

Dentist in Prospect, Connecticut

NPI Number1639701865
Practice location
60 Waterbury RD, Prospect, CT 06712-1250
Fax
—
Last updated
February 5, 2020

Jack David Kemper is a Dentist based in Prospect, CT. Jack David Kemper practices in Prospect, CT and has the professional credentials of DMD. The NPI Number for Jack David Kemper is 1639701865 and holds a License No. 12688 (CT). The current practice location address for Jack David Kemper is 60 Waterbury RD, Prospect, CT 06712-1250 and can be reached out via phone at 203-527-3855.

Provider Profile Details

NPI Number
1639701865
Provider Name
Jack David Kemper
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
60 Waterbury RD, Prospect, CT 06712-1250
Phone Number
203-527-3855
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
February 5, 2020
Last Update Date
February 5, 2020
Certification Date
February 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Waterbury RD
Prospect, CT 06712-1250
Zip
06712-1250
Phone Number
203-527-3855
Prospect, CT 06712Get directions →

Provider Business Mailing Address Details

Address
154 Haven Ave Apt 1210
New York, NY 10032-1180
City
New York
State
NY
Zip
10032-1180
Phone Number
616-644-1743

License Information

License Number
12688
License State
CT
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

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

Other Dentists near Prospect, CT

View all Dentists in Prospect →

Frequently Asked Questions

What is the NPI number of Dr. Jack D Kemper, DMD?

The NPI number of Dr. Jack D Kemper, DMD is 1639701865. It was assigned on February 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Jack D Kemper, DMD?

Dr. Jack D Kemper, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 12688.

Where does Dr. Jack D Kemper, DMD practice?

The practice location is 60 Waterbury RD, Prospect, CT 06712-1250. The office can be reached at 203-527-3855 (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 1639701865 directly on the NPPES registry website.

Browse related providers