Kenneth Banasiak in Basking Ridge - Orthodontics And Dentofacial Orthopedics

Kenneth Banasiak - NPI 1336331628

Kenneth Banasiak is a Orthodontics And Dentofacial Orthopedics in Basking Ridge, New Jersey. Kenneth Banasiak practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kenneth Banasiak is 1336331628. The last update date is 2007-08-10.

Kenneth Banasiak's current location address is 65 South Maple Ave, Basking Ridge, New Jersey. You can contact this provider via phone number 9087662444 and fax number 9082219655. The mailing address for Kenneth Banasiak is 65 South Maple Ave, Basking Ridge, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Banasiak
Address 65 South Maple Ave, Basking Ridge, New Jersey
Phone Number 9087662444
Fax Number 9082219655
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1336331628
Provider Enumeration Date 2007-08-10
Last Updated Date 2007-08-10

Provider Mailing Address Detail

Address 65 South Maple Ave
City Basking Ridge
State New Jersey (NJ)
Post Code 7920
Phone Number 9087662444
Fax Number 9082219655

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 22DI02217600
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Kenneth Banasiak

What is the unique provider identifier assigned to Kenneth Banasiak?

The Kenneth Banasiak has been issued the NPI (National Provider Identifier) 1336331628 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Kenneth Banasiak is physically located?

The Kenneth Banasiak is situated at the following address: 65 South Maple Ave, Basking Ridge, NJ 7920.

What is Kenneth Banasiak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kenneth Banasiak is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.

When was the Kenneth Banasiak's 1336331628 issued?

The Kenneth Banasiak's 1336331628 was issued on 2007-08-10.

As of what date were the details pertaining to Kenneth Banasiak last refreshed?

The information related to the Kenneth Banasiak, including its address, specialty, and other relevant details, was last updated on 2007-08-10.

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