Kernan Dentistry is a Dental in Baltimore, Maryland. Kernan Dentistry practices all healthcare services and medical treatments related to Dental. The NPI Number for Kernan Dentistry is 1942202692. The last update date is 2023-06-27.
Kernan Dentistry's current location address is 2200 Kernan Dr, Baltimore, Maryland. You can contact this provider via phone number 4104486290 and fax number 4104486883. The mailing address for Kernan Dentistry is 2200 Kernan Dr, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kernan Dentistry |
|---|---|
| Address | 2200 Kernan Dr, Baltimore, Maryland |
| Phone Number | 4104486290 |
| Fax Number | 4104486883 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Bogin Marina |
| Telephone Number | 4104486289 |
NPI Number Detail
| NPI Number | 1942202692 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2023-06-27 |
Provider Mailing Address Detail
| Address | 2200 Kernan Dr |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212076665 |
| Phone Number | 4104486290 |
| Fax Number | 4104486883 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9282-1 | MD | UNITED HEALTHCARE ID | |
| S165 | MD | DENTAL NETWORK ID | |
| 105664 | MD | DORAL DENTAL LOCATION ID | |
| 164252 | MD | DORAL DENTAL PAYOR ID | |
| 800194400 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kernan Dentistry by the Centers for Medicare & Medicaid Services?
The Kernan Dentistry has been assigned the NPI (National Provider Identifier) 1942202692. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kernan Dentistry is geographically located?
The Kernan Dentistry is physically situated at the following location: 2200 Kernan Dr, Baltimore, MD, 212076665.
What is Kernan Dentistry's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kernan Dentistry is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
On what date did the Kernan Dentistry receive its 1942202692 assignment from the Centers for Medicare & Medicaid Services?
The Kernan Dentistry was assigned its 1942202692 by the Centers for Medicare & Medicaid Services on 2005-08-12.
As of what date were the details related to Kernan Dentistry most recently updated or revised?
The information pertaining to Kernan Dentistry, including its address, specialty, and other relevant details, was last updated or revised on 2023-06-27.