Individual
DR. ROBERT SCOTT MCKERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
55 M ST NE APT PH210, WASHINGTON, DC 20002-3298
(914) 409-5800
Mailing address
55 M ST NE APT PH210, WASHINGTON, DC 20002-3298
(914) 409-5800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN1002133
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2020
Last updated
07/09/2020
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