Individual
DR. JOE R KENESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1164 HWY 327 E, SILSBEE, TX 77656
(409) 385-3651
(409) 385-9456
Mailing address
1164 HWY 327 E, SILSBEE, TX 77656
(409) 385-3651
(409) 385-9456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909418-01
—
TX
01
—
875927
UNITED CONCORDIA
TX
01
—
D13471
BLUE CROSS
TX
Enumeration date
08/31/2006
Last updated
08/13/2009
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