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KELNERPERIOLLC
NPI 1205215050
Dentist - Periodontics in Clark, NJ

Active since May 27, 2015
67 WALNUT AVE STE 307, CLARK, NJ 07066(732) 587-6740(732) 587-6741 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelnerperiollc NPPES

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

KELNERPERIOLLC (NPI 1205215050) is a healthcare organization registered as a periodontics in Clark, New Jersey and active in the NPI registry since May 2015. The organization lists Richard Michael Kelner, Partner Owner, as its authorized official.

NPPES Registry Identity

NPI1205215050
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameKELNERPERIOLLC
Location Address67 WALNUT AVE STE 307Clark, NJ 07066-1687
Mailing Address67 Walnut Ave Ste 307Clark, NJ 07066-1687 · (732) 587-6740 · Fax (732) 587-6741
Phone(732) 587-6740
Fax(732) 587-6741
Organization SubpartNo
Authorized OfficialRichard Michael KelnerPartner Owner · (732) 587-6740
Enumeration DateMay 27, 2015
✔ NPI 1205215050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NJ · 22DI00899900
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

67 WALNUT AVE STE 307, Clark, NJ 07066
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Other Identifiers 1

Other22DI00899900NJ · Nj Dental License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. RICHARD M KELNER DMD
Dentist (Periodontics)
67 WALNUT AVE STE 307, SUITE 1
CLARK, NJ 07066
Union County (732) 587-6740
DR. DANIELLE KELNER DMD
Dentist (Periodontics)
67 WALNUT AVE STE 307
CLARK, NJ 07066
Union County (732) 587-6740

Frequently Asked Questions

What is KELNERPERIOLLC's NPI number?

The NPI number assigned to this healthcare provider is 1205215050, enumerated as an "organization" on May 27, 2015.

Where is the provider located?

The provider is located at 67 WALNUT AVE STE 307 CLARK, NJ 07066 and the phone number is (732) 587-6740.

What is the provider's specialty?

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

What insurance does KELNERPERIOLLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.