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KENILWORTH DENTAL ASSOCIATES, LLC
NPI 1710064977
Dentist - General Practice in Kenilworth, NJ

Active since November 01, 2006
513 BOULEVARD, KENILWORTH, NJ 07033(908) 276-6652(908) 709-4337 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenilworth Dental Associates, Llc NPPES

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

KENILWORTH DENTAL ASSOCIATES, LLC (NPI 1710064977) is a healthcare organization registered as a general practice in Kenilworth, New Jersey and active in the NPI registry since November 2006. The organization lists Jerome Scott Forman, Owner, as its authorized official.

NPPES Registry Identity

NPI1710064977
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENILWORTH DENTAL ASSOCIATES, LLC
Location Address513 BOULEVARDKenilworth, NJ 07033-1637
Mailing Address513 BoulevardKenilworth, NJ 07033-1637 · (908) 276-6652 · Fax (908) 709-4337
Phone(908) 276-6652
Fax(908) 709-4337
Organization SubpartNo
Authorized OfficialJerome Scott FormanOwner · (908) 276-6652
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710064977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NJ · 14638
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.
513 BOULEVARD, Kenilworth, NJ 07033
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DAVID ALLEN STEELE DMD
Dentist (General Practice)
513 BOULEVARD
KENILWORTH, NJ 07033
Union County (908) 276-6652
DR. JEROME SCOTT FORMAN D.M.D.
Dentist (General Practice)
513 BOULEVARD
KENILWORTH, NJ 07033
Union County (908) 276-6652
MONDOVI DENTAL OF NEW JERSEY - BEJARANO PC
Dentist (General Practice)
513 BOULEVARD
KENILWORTH, NJ 07033
Union County (908) 276-6652

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 Kenilworth Dental Associates, LLC's NPI number?

The NPI number for Kenilworth Dental Associates, LLC is 1710064977. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Kenilworth Dental Associates, LLC located?

Kenilworth Dental Associates, LLC is located at 513 Boulevard, Kenilworth, NJ 07033. The listed phone number is (908) 276-6652.

What is Kenilworth Dental Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenilworth Dental Associates, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.