# KENNETH JAMES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063524551
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22D102154500 | NJ | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1194996645 | 444 WILLIAM STREET | NJ |
| 01 | — | 1740345693 | 741 BROADWAY | NJ |
| 01 | — | 1972778413 | 1150 SPRINGFIELD AVE | NJ |
| 05 | — | 8727309 | — | NJ |
