| Irwin Kennon Dmd Inc | |
|
63 Prospect Street Taunton MA 02780-3432 | |
| (508) 823-1550 | |
| (508) 823-2886 |
| Full Name | Irwin Kennon Dmd Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 63 Prospect Street, Taunton, Massachusetts |
| Authorized Official Name and Position | Irwin Kennon (OWNER DENTIST) |
| Authorized Official Contact | 5088231550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irwin Kennon Dmd Inc 63 Prospect Street Taunton MA 02780-3432 Ph: (508) 823-1550 | Irwin Kennon Dmd Inc 63 Prospect Street Taunton MA 02780-3432 Ph: (508) 823-1550 |
| NPI Number | 1730385444 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730385444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10582 (Massachusetts) | Primary |
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