| Kenneth M. Klamut, Dds, Pc | |
|
129 University Blvd Suite A Harrisonburg VA 22801-3751 | |
| (540) 432-1300 | |
| (540) 438-0811 |
| Full Name | Kenneth M. Klamut, Dds, Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 129 University Blvd, Harrisonburg, Virginia |
| Authorized Official Name and Position | Kenneth M. Klamut (PRESIDENT) |
| Authorized Official Contact | 5404321300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth M. Klamut, Dds, Pc 129 University Blvd Suite A Harrisonburg VA 22801-3751 Ph: (540) 432-1300 | Kenneth M. Klamut, Dds, Pc 129 University Blvd Suite A Harrisonburg VA 22801-3751 Ph: (540) 432-1300 |
| NPI Number | 1205027695 |
|---|---|
| Provider Enumeration Date | 08/09/2007 |
| Last Update Date | 08/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205027695 | NPI | - | NPPES |
| 1831295294 | Other | VA | NPI INDIVIDUAL |
| 528289 | Other | VA | UNITED CONCORDIA |
| 041609 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401007080 (Virginia) | Primary |
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