Individual provider · Type 1 NPI

Kenneth Banasiak, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Basking Ridge, NJ

NPI number 1336331628 Active

Practice location

65 South Maple Ave
Basking Ridge, NJ 07920

Fax (908) 221-9655

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	22DI02217600 (NJ)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1336331628

Kenneth Banasiak, DMD's National Provider Identifier is 1336331628, issued on Aug 10, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Basking Ridge, NJ. The record was last updated on Aug 10, 2007.