1. Home
  2. Directory
  3. New Jersey
  4. Clark
  5. Dentist
  6. NPI Profile

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
Open in Google Maps ↗

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelnerperiollc's NPI number?

The NPI number for Kelnerperiollc is 1205215050. It was assigned to this organization in the NPPES registry on May 27, 2015.

Where is Kelnerperiollc located?

Kelnerperiollc is located at 67 Walnut Ave Ste 307, Clark, NJ 07066. The listed phone number is (732) 587-6740.

What is Kelnerperiollc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Kelnerperiollc was last updated on May 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.