Individual
DR. MADELINE M KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
123 YORK ST STE 4L, NEW HAVEN, CT 06511-5665
(203) 781-8051
Mailing address
22 MILLS ST, WESTPORT, CT 06880-5502
(203) 506-1550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12735
CT
1223G0001X
General Practice Dentistry
Primary
12735
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2019
Last updated
01/17/2023
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