Active NPIOrganization

John D Kernan DMD PA

Dentist, General Practice in Westmont, New Jersey

NPI Number1689719288
Practice location
658 W Cuthbert Blvd, Westmont, NJ 08108-3642
Fax
856-869-8686
Last updated
August 22, 2020

John D Kernan DMD PA is a healthcare organization based in Westmont, NJ. John D Kernan DMD PA practices in Westmont, NJ. The NPI Number for John D Kernan DMD PA is 1689719288 and holds a License No. 22DI01100200 (NJ). The current practice location address for John D Kernan DMD PA is 658 W Cuthbert Blvd, Westmont, NJ 08108-3642 and can be reached out via phone at 856-869-8660 and via fax at 856-869-8686.

Provider Profile Details

NPI Number
1689719288
Provider Name
John D Kernan DMD PA
Provider Entity Type
Organization
Address
658 W Cuthbert Blvd, Westmont, NJ 08108-3642
Phone Number
856-869-8660
Fax Number
856-869-8686
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Mr. Peter Uber Burton · Controller Secretary · 856-869-8660
Other Names
William T Defeo DDS PA (Former Legal Business Name)
Provider Enumeration Date
February 21, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
658 W Cuthbert Blvd
Westmont, NJ 08108-3642
Zip
08108-3642
Phone Number
856-869-8660
Fax Number
856-869-8686
Westmont, NJ 08108Get directions →

Provider Business Mailing Address Details

Address
658 W Cuthbert Blvd
Westmont, NJ 08108-3642
City
Westmont
State
NJ
Zip
08108-3642
Phone Number
856-869-8660
Fax Number
856-869-8686

License Information

License Number
22DI01100200
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 John D Kernan DMD PA?

The NPI number of John D Kernan DMD PA is 1689719288. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of John D Kernan DMD PA?

John D Kernan DMD PA is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI01100200.

Where does John D Kernan DMD PA practice?

The practice location is 658 W Cuthbert Blvd, Westmont, NJ 08108-3642. The office can be reached at 856-869-8660 (phone) or 856-869-8686 (fax).

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 1689719288 directly on the NPPES registry website.

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