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Individual

NICHOLAS MATTHEW KERNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5180 E MAIN ST STE C, COLUMBUS, OH 43213-2436
(614) 868-0718
Mailing address
5180 E MAIN ST STE C, COLUMBUS, OH 43213-2436
(614) 868-0718

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.023881
OH
1223P0221X
Pediatric Dentistry
Primary
30.023881
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0080530
OH
Enumeration date
02/22/2011
Last updated
04/14/2025
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