Individual provider · Type 1 NPI

Hazel Kerr

Periodontics · Philadelphia, PA

NPI number 1760369987 Active

Practice location

240 S 40th St
Philadelphia, PA 19104-6030

Call (215) 898-8965 Map

Mailing address

1620 Sansom St Apt 2202
Philadelphia, PA 19103-5973

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X0401419672 (VA)
Periodontics 1223P0300XRFD000080 (PA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1760369987

Hazel Kerr's National Provider Identifier is 1760369987, issued on Aug 19, 2025. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 11, 2025.