Individual
DR. DENNIS W KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
25501 BRAINARD AVE, USA DENTAC SNYDER DENTAL CLINIC, SNYDER DENTAL CLINIC, FT. EISENHOWER, GA 30905-0000
(706) 787-7050
Mailing address
25501 BRAINARD AVE, FT. EISENHOWER, GA 30905-0000
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN012554
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153580911A
—
GA
05
—
ZG2554
—
SC
Enumeration date
05/22/2006
Last updated
03/12/2024
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