Kenny Durandis is a Brockton, Massachusetts based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kenny Durandis is 20386 for General Practice Dentistry in Massachusetts. His current practice location is 715 Crescent St Ste 9a, Brockton. Patients can reach him at 508-894-3001.
Kenny Durandis is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kenny Durandis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kenny Durandis
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
715 Crescent St Ste 9a, Brockton, Massachusetts, 02302-3363
Phone:
508-894-3001
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1992893283
NPI Enumeration Date:
11 Oct, 2006
NPI Last Update On:
20 Aug, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenny Durandis are as mentioned below.
License Number
Specialization
State
Status
20386
General Practice Dentistry
Massachusetts
Primary
DEN1000580
General Practice Dentistry
District Of Columbia
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenny Durandis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0296996
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
24 Westhaven Dr, Brockton, Massachusetts
Zip:
02301-1053
Phone Number:
617-775-1525
Patients can reach Kenny Durandis at 715 Crescent St Ste 9a, Brockton, Massachusetts or can call to book an appointment on 508-894-3001. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.