Active NPIIndividual providerSole proprietor

Dr. Max Kernizan, DMD

Dentist, Oral and Maxillofacial Surgery in East Longmeadow, Massachusetts

NPI Number1811334493
Practice location
382 N Main St, East Longmeadow, MA 01028-1828
Fax
—
Last updated
July 17, 2017

Max Kernizan is a Dentist, Oral and Maxillofacial Surgery based in East Longmeadow, MA. Max Kernizan practices in East Longmeadow, MA and has the professional credentials of DMD. The NPI Number for Max Kernizan is 1811334493 and holds a License No. DN1857556 (MA). The current practice location address for Max Kernizan is 382 N Main St, East Longmeadow, MA 01028-1828 and can be reached out via phone at 413-525-0100.

Provider Profile Details

NPI Number
1811334493
Provider Name
Max Kernizan
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
382 N Main St, East Longmeadow, MA 01028-1828
Phone Number
413-525-0100
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2013
Last Update Date
July 17, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
382 N Main St
East Longmeadow, MA 01028-1828
Zip
01028-1828
Phone Number
413-525-0100
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
1210 Chapel St
New Haven, CT 06511-4702
City
New Haven
State
CT
Zip
06511-4702

License Information

License Number
DN1857556
License State
MA
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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. Max Kernizan, DMD?

The NPI number of Dr. Max Kernizan, DMD is 1811334493. It was assigned on May 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Max Kernizan, DMD?

Dr. Max Kernizan, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number DN1857556.

Where does Dr. Max Kernizan, DMD practice?

The practice location is 382 N Main St, East Longmeadow, MA 01028-1828. The office can be reached at 413-525-0100 (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 1811334493 directly on the NPPES registry website.

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