Individual provider · Type 1 NPI
Kenny Durandis
General Practice Dentistry · Brockton, MA
NPI number
1992893283
Active
Practice location
715 Crescent St Ste 9A
Brockton, MA 02302-3363
Mailing address
24 Westhaven Dr
Brockton, MA 02301-1053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 20386 (MA) |
| General Practice Dentistry | 1223G0001X | DEN1000580 (DC) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1992893283
Kenny Durandis's National Provider Identifier is 1992893283, issued on Oct 11, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Brockton, MA. The record was last updated on Aug 20, 2007.