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Kenny Durandis
General Practice Dentistry in Brockton, Massachusetts
NPI 1992893283

Kenny Durandis is a General Practice Dentistry based in Brockton, MA and is specialized in General Practice. Kenny Durandis practices in Brockton, MA. The NPI Number for Kenny Durandis is 1992893283 and holds a License No. 20386 (Massachusetts).

The current practice location address for Kenny Durandis is 715 Crescent St Ste 9A, Brockton, MA and can be reached out via phone at 508-894-3001.

Location: 715 Crescent St Ste 9A, Brockton, MA, 02301-1053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992893283
Provider Name
Kenny Durandis
Credential
Provider Entity Type
Individual
Gender
Male
Address
715 Crescent St Ste 9A, Brockton, MA, 02301-1053
Phone Number
508-894-3001
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0296996 05 MA
institution
Provider Business Practice Location Address Details
Address
715 Crescent St Ste 9A
City
Brockton
State
Massachusetts
Zip
02302-3363
Phone Number
508-894-3001
Fax Number
person
Provider Business Mailing Address Details
Address
715 Crescent St Ste 9A
City
Brockton
State
Massachusetts
Zip
02302-3363
Phone Number
508-894-3001
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
20386 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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