Individual provider · Type 1 NPI
Kenneth Sherman Roll, DDS
Oral and Maxillofacial Surgery (Dentist) · Kingston, NY
NPI number
1912949934
Active
Practice location
130 N Front St, Suite #8
Kingston, NY 12401-3741
Fax (845) 338-9086
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 033037 (NY) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
About NPI 1912949934
Kenneth Sherman Roll, DDS's National Provider Identifier is 1912949934, issued on Jun 12, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Kingston, NY. The record was last updated on Jun 9, 2010.