# KEARNY AVE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265179816
- **Authorized official:** MICHAEL E. SKOLNICK DMD (CEO)
- **Authorized official phone:** (201) 955-2500

## Contact information

- **Practice address:** 242 KEARNY AVE, KEARNY, NJ 07032-2505
- **Practice address phone:** (201) 955-2500
- **Mailing address:** 242 KEARNY AVE, KEARNY, NJ 07032-2505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2022
- **Last updated:** 04/05/2023