Active NPIIndividual provider

Marina K Kanakos

Dentist, Pediatric Dentistry in Mullica Hill, New Jersey

NPI Number1962088278
Practice location
4 Burton Ln Ste 400, Mullica Hill, NJ 08062-9441
Fax
—
Last updated
July 5, 2023

Marina Kristin Kanakos is a Dentist, Pediatric Dentistry based in Mullica Hill, NJ. Marina Kristin Kanakos practices in Mullica Hill, NJ. The NPI Number for Marina Kristin Kanakos is 1962088278 and holds a License No. 13099. The current practice location address for Marina Kristin Kanakos is 4 Burton Ln Ste 400, Mullica Hill, NJ 08062-9441 and can be reached out via phone at 856-842-5400.

Provider Profile Details

NPI Number
1962088278
Provider Name
Marina Kristin Kanakos
Provider Entity Type
Individual
Gender
Female
Address
4 Burton Ln Ste 400, Mullica Hill, NJ 08062-9441
Phone Number
856-842-5400
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
March 18, 2021
Last Update Date
July 5, 2023
Certification Date
July 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Burton Ln Ste 400
Mullica Hill, NJ 08062-9441
Zip
08062-9441
Phone Number
856-842-5400
Mullica Hill, NJ 08062Get directions →

Provider Business Mailing Address Details

Address
4 Burton Ln Ste 400
Mullica Hill, NJ 08062-9441
City
Mullica Hill
State
NJ
Zip
08062-9441
Phone Number
856-842-5400

License Information

License Number (2)
13099
License Number (3)
22DI02961600
License State (3)
NJ
Taxonomy (3)
Dentist, Pediatric Dentistry · 1223P0221X · 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 Marina K Kanakos?

The NPI number of Marina K Kanakos is 1962088278. It was assigned on March 18, 2021 and is currently active in the NPPES registry.

What is the specialty of Marina K Kanakos?

Marina K Kanakos is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed under license number 13099.

Where does Marina K Kanakos practice?

The practice location is 4 Burton Ln Ste 400, Mullica Hill, NJ 08062-9441. The office can be reached at 856-842-5400 (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 1962088278 directly on the NPPES registry website.

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