| Kelnerperiollc | |
|
67 Walnut Ave Ste 307 Clark NJ 07066-1687 | |
| (732) 587-6740 | |
| (732) 587-6741 |
| Full Name | Kelnerperiollc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 67 Walnut Ave Ste 307, Clark, New Jersey |
| Authorized Official Name and Position | Richard Michael Kelner (PARTNER OWNER) |
| Authorized Official Contact | 7325876740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelnerperiollc 67 Walnut Ave Ste 307 Clark NJ 07066-1687 Ph: (732) 587-6740 | Kelnerperiollc 67 Walnut Ave Ste 307 Clark NJ 07066-1687 Ph: (732) 587-6740 |
| NPI Number | 1205215050 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205215050 | NPI | - | NPPES |
| 22DI00899900 | Other | NJ | NJ DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 22DI00899900 (New Jersey) | Primary |
Arthur T.grutt D.m.d Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Brant Ave, Clark, NJ 07066 Phone: 732-815-1776 | |
Kelner Periodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Raritan Rd, Clark, NJ 07066 Phone: 908-753-4427 Fax: 908-756-7019 | |
Frank J Pecoraro Dds Pa Richard M Kelner Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1119 Raritan Rd, Suite 1, Clark, NJ 07066 Phone: 732-382-9090 Fax: 732-396-1527 | |
Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 Raritan Rd, Clark, NJ 07066 Phone: 732-815-1977 Fax: 732-815-1985 | |
Garden State Dental Design Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Raritan Rd, Suite 102, Clark, NJ 07066 Phone: 732-669-7227 | |
Donald Zimmerman Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Central Ave, Clark, NJ 07066 Phone: 732-574-1660 Fax: 732-574-1660 |