Kenilworth Dental Associates, LLC
Dentist, General Practice in Kenilworth, New Jersey
1710064977- Practice location
- 513 Boulevard, Kenilworth, NJ 07033-1637
- Phone
- 908-276-6652
- Fax
- 908-709-4337
- Last updated
- August 22, 2020
Kenilworth Dental Associates, LLC is a healthcare organization based in Kenilworth, NJ. Kenilworth Dental Associates, LLC practices in Kenilworth, NJ. The NPI Number for Kenilworth Dental Associates, LLC is 1710064977 and holds a License No. 14638 (NJ). The current practice location address for Kenilworth Dental Associates, LLC is 513 Boulevard, Kenilworth, NJ 07033-1637 and can be reached out via phone at 908-276-6652 and via fax at 908-709-4337.
Provider Profile Details
- NPI Number
- 1710064977
- Provider Name
- Kenilworth Dental Associates, LLC
- Provider Entity Type
- Organization
- Address
- 513 Boulevard, Kenilworth, NJ 07033-1637
- Phone Number
- 908-276-6652
- Fax Number
- 908-709-4337
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Jerome Scott Forman, DMD · Owner · 908-276-6652
- Provider Enumeration Date
- November 1, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 513 Boulevard
Kenilworth, NJ 07033-1637 - City
- Kenilworth
- State
- New Jersey
- Zip
- 07033-1637
- Phone Number
- 908-276-6652
- Fax Number
- 908-709-4337
Provider Business Mailing Address Details
- Address
- 513 Boulevard
Kenilworth, NJ 07033-1637 - City
- Kenilworth
- State
- NJ
- Zip
- 07033-1637
- Phone Number
- 908-276-6652
- Fax Number
- 908-709-4337
License Information
- License Number
- 14638
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Kenilworth, NJ
View all Dentist, General Practice providers in Kenilworth →- Ann Liu LLCDentist, General Practice · NPI 1699310516
- David A Steele, DMDDentist, General Practice · NPI 1679610166
- Derkasch Dental Health Associates PADentist, General Practice · NPI 1881874063
- Dr. Cyrus G Dehkan, DDSDentist, General Practice · NPI 1518175603
- Dr. Jerome S Forman, DMDDentist, General Practice · NPI 1679650931
- Dr. William J Derkasch, DDSDentist, General Practice · NPI 1801910716
Frequently Asked Questions
What is the NPI number of Kenilworth Dental Associates, LLC?
The NPI number of Kenilworth Dental Associates, LLC is 1710064977. It was assigned on November 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Kenilworth Dental Associates, LLC?
Kenilworth Dental Associates, LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 14638.
Where does Kenilworth Dental Associates, LLC practice?
The practice location is 513 Boulevard, Kenilworth, NJ 07033-1637. The office can be reached at 908-276-6652 (phone) or 908-709-4337 (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 1710064977 directly on the NPPES registry website.