Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KENNETH J PERO D.O.
NPI 1154423119
Dentist - General Practice in Saint Johns, MI

Active since September 01, 2006
1014 N CLINTON AVE, SAINT JOHNS, MI 48879(989) 224-6727(989) 227-9109 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kenneth J Pero D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH J PERO D.O. (NPI 1154423119) is an individual general practice provider in Saint Johns, Michigan, licensed in Michigan (12945) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1154423119
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH J PEROCredential: D.O.
Location Address1014 N CLINTON AVESaint Johns, MI 48879-1042
Mailing Address1014 N Clinton AveSaint Johns, MI 48879-1042 · (989) 224-6727 · Fax (989) 227-9109
Fax(989) 227-9109
Sole ProprietorYes
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 5, 2026
NPI 1154423119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 12945
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1014 N CLINTON AVE, Saint Johns, MI 48879

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1014 N CLINTON AVE
SAINT JOHNS, MI 48879
Clinic/Center (Dental)
1014 N CLINTON AVE
SAINT JOHNS, MI 48879
Dentist
1014 N CLINTON AVE
SAINT JOHNS, MI 48879
Dentist
1014 N CLINTON AVE
SAINT JOHNS, MI 48879

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154423119, enumerated as an "individual" on September 01, 2006.

The provider is located at 1014 N CLINTON AVE SAINT JOHNS, MI 48879 and the phone number is (989) 224-6727.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.