Kelnerperiollc

LBN: Kelnerperiollc
Kelnerperiollc is an health care organization with primary practice located at 67 Walnut Ave Ste 307 , Clark NJ 07066-1687. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Kelnerperiollc can be contacted via phone (732) 587-6740, or through Kelner, Richard Michael via phone (732) 587-6740.

Contact Information

Primary practice address
67 Walnut Ave Ste 307 Clark NJ 07066-1687
Phone: (732) 587-6740
Fax: (732) 587-6741
Website:
Map and Directions
Authorized official contact:
Name: Kelner, Richard Michael Doctor of Dental Medicine (DMD)
Phone: (732) 587-6740

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 22DI00899900 New Jersey

Profile Details

NPI number 1205215050
LBN Legal business name Kelnerperiollc
DBA Doing business as
Authorized official Kelner, Richard Michael Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2015
Last updated May 27th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205215050 NPPES
New Jersey Other 22DI00899900 NJ DENTAL LICENSE

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