Kiernan, Dennis W
Kiernan, Dennis W is an individual health care provider with primary practice located at 25501 Brainard Ave, Usa Dentac Snyder Dental Clinic Snyder Dental Clinic, Ft. Eisenhower GA 30905-0000. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Kiernan, Dennis W can be contacted via phone (706) 787-7050.Contact Information
Primary practice address
25501 Brainard Ave, Usa Dentac Snyder Dental Clinic Snyder Dental Clinic
Ft. Eisenhower GA 30905-0000
Phone: (706) 787-7050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Prosthodontics | 1223P0700X | DN012554 | Georgia |
Profile Details
| NPI number | 1275587107 |
|---|---|
| LBN Legal business name | Kiernan, Dennis W |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Mar 12th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275587107 | NPPES |
| Georgia | MEDICAID | 153580911A | |
| Georgia | MEDICAID | ZG2554 |
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