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DR. KENNETH MARTIN HARTENIAN DMD
NPI 1396832028
Dentist - Oral and Maxillofacial Surgery in Manitowoc, WI

Active since October 06, 2006
33 E WALDO BLVD, MANITOWOC, WI 54220(920) 684-3353(920) 684-8786 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kenneth Martin Hartenian Dmd NPPES

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

DR. KENNETH MARTIN HARTENIAN DMD (NPI 1396832028) is an individual oral and maxillofacial surgery provider in Manitowoc, Wisconsin, licensed in Wisconsin (5001323) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1396832028
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KENNETH MARTIN HARTENIANCredential: DMD
Location Address33 E WALDO BLVDManitowoc, WI 54220
Mailing Address33 E Waldo BlvdManitowoc, WI 54220 · (920) 684-3353 · Fax (920) 684-8786
Phone(920) 684-3353
Fax(920) 684-8786
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396832028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WI · 5001323
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
33 E WALDO BLVD, Manitowoc, WI 54220
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Other Identifiers 3

Medicaid70032900WI
Medicare ID-Type Unspecified78305WI
Medicare UPINT62138

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.

MDC MANITOWOC SC
Dentist (General Practice)
33 E WALDO BLVD
MANITOWOC, WI 54220
Manitowoc County (920) 682-0115
DR. KALI ROSE DISTERHOFT
Dentist
33 E WALDO BLVD
MANITOWOC, WI 54220
Manitowoc County (920) 682-0115

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 Kenneth Hartenian's NPI number?

The NPI number for Kenneth Hartenian is 1396832028. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Kenneth Hartenian located?

Kenneth Hartenian practices at 33 E Waldo Blvd, Manitowoc, WI 54220. The listed phone number is (920) 684-3353.

What is Kenneth Hartenian's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Kenneth Hartenian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.