Individual
KENNETH JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 LUDLOW ST, NEWARK, NJ 07114-1108
(973) 565-0355
(973) 565-0461
Mailing address
1700 MYRTLE AVE, PLAINFIELD, NJ 07063-1000
(908) 753-6401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D102154500
NJ
Other
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
Enumeration date
08/31/2006
Last updated
03/07/2023
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