Banasiak, Kenneth
Banasiak, Kenneth is an individual health care provider with primary practice located at 65 South Maple Ave , Basking Ridge NJ 07920. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Banasiak, Kenneth can be contacted via phone (908) 766-2444.Contact Information
Primary practice address
65 South Maple Ave
Basking Ridge NJ 07920
Phone: (908) 766-2444
Fax: (908) 221-9655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 22DI02217600 | New Jersey |
Profile Details
| NPI number | 1336331628 |
|---|---|
| LBN Legal business name | Banasiak, Kenneth |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2007 |
| Last updated | Aug 10th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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