Organization
KENNETH M. KLAMUT, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M. KLAMUT DDS (PRESIDENT)
(540) 432-1300
Entity
Organization
Contact information
Practice address
129 UNIVERSITY BLVD, SUITE A, HARRISONBURG, VA 22801-3751
(540) 432-1300
(540) 438-0811
Mailing address
129 UNIVERSITY BLVD, SUITE A, HARRISONBURG, VA 22801-3751
(540) 432-1300
(540) 438-0811
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401007080
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041609
ANTHEM
VA
01
—
1831295294
NPI INDIVIDUAL
VA
01
—
528289
UNITED CONCORDIA
VA
Enumeration date
08/09/2007
Last updated
08/09/2007
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