| Kernan Oral Maxillofacial & Implant Surgery | |
|
9995 Dayton Lebanon Pike Centerville OH 45458 | |
| (937) 885-7204 | |
| (937) 885-7206 |
| Full Name | Kernan Oral Maxillofacial & Implant Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 9995 Dayton Lebanon Pike, Centerville, Ohio |
| Authorized Official Name and Position | Brian Thomas Kernan (PRESIDENT ORAL MAXILLOFACIAL SURGEO) |
| Authorized Official Contact | 9378857204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kernan Oral Maxillofacial & Implant Surgery 9995 Dayton Lebanon Pike Centerville OH 45458 Ph: (937) 885-7204 | Kernan Oral Maxillofacial & Implant Surgery 9995 Dayton Lebanon Pike Centerville OH 45458 Ph: (937) 885-7204 |
| NPI Number | 1538330089 |
|---|---|
| Provider Enumeration Date | 03/12/2008 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538330089 | NPI | - | NPPES |
| 0666060 | Medicaid | OH | |
| KE4118162 | Other | OH | MEDICARE INDIVIDUAL |
| KE9357911 | Other | OH | MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 18518 (Ohio) | Primary |
Professional Dental Alliance Of Centerville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9420 Dayton Lebanon Pike, Centerville, OH 45458 Phone: 937-433-8900 | |