Organization
KERNAN DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA BOGIN (CFO)
(410) 448-6289
Entity
Organization
Contact information
Practice address
2200 KERNAN DR, DENTAL SUITE T500, BALTIMORE, MD 21207-6665
(410) 448-6290
(410) 448-6883
Mailing address
PO BOX 62015, BALTIMORE, MD 21264-2015
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105664
DORAL DENTAL LOCATION ID
MD
01
—
164252
DORAL DENTAL PAYOR ID
MD
05
—
800194400
—
MD
01
—
9282-1
UNITED HEALTHCARE ID
MD
01
—
S165
DENTAL NETWORK ID
MD
Enumeration date
08/12/2005
Last updated
06/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us