DR. MAX KERNIZAN (NPI# 1811334493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811334493 |
| Entity Type | Individual |
| Full Name | DR. MAX KERNIZAN |
| Credential | D.M.D. |
| Practice Address |
382 N Main St East Longmeadow MA 01028-1828 |
| Mailing Address |
1210 Chapel St New Haven CT 06511-4702 |
| Practice Telephone | 4135250100 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2017-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN1857556 | MA | Dental Providers |
| Street Address |
382 N MAIN ST |
| City | EAST LONGMEADOW |
| State | MA |
| Zip Code | 01028-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346609039 | Margaret Shea | Technician/Technologist | 382 N Main St, Suite 101, East Longmeadow, MA 01028-1828 | 2016-02-23 |
| 1538460092 | Sleep Management Solutions, LLC | Clinic/Center | 382 N Main St, Suite 102, East Longmeadow, MA 01028-1828 | 2010-11-15 |
| 1528252343 | Litscher Eye Center Od | Optometrist | 382 N Main St, Suite 101, East Longmeadow, MA 01028-1828 | 2007-09-05 |
| 1417155276 | Facial Cosmetic & Maxillofacial Surgery P.C. | Dentist | 382 N Main St, Suite 202, East Longmeadow, MA 01028-1828 | 2007-07-03 |
| 1952504219 | Justin Bice Clemow | Oral & Maxillofacial Surgery | 382 N Main St, Suite 202, East Longmeadow, MA 01028-1828 | 2007-06-06 |
| 1649351461 | Larry A Litscher Md | Ophthalmology | 382 N Main St, Suite 101, East Longmeadow, MA 01028-1828 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174142509 | Golden Years Behavioral Health Group Inc. | Counselor | 16 Shaker Road, East Longmeadow, MA 01028 | 2020-04-15 |
| 1821518747 | Taylor Kirk | Social Worker | 138 Hampden Road, East Longmeadow, MA 01028 | 2017-06-21 |
| 1770039174 | Rebecca Bailey | Physician Assistant | 305a Maple Street, East Longmeadow, MA 01028 | 2016-08-26 |
| 1609261650 | New England Dental Care | Dentist | 132 Canterbury Circle, East Longmeadow, MA 01028 | 2015-04-06 |
| 1629394168 | Angela C Lamothe | Massage Therapist | 80 Center Square, East Longmeadow, MA 01028 | 2010-04-08 |
| 1588807648 | Maria De La Alhambra Gurd | Counselor | 294 N Main St Ste 101, East Longmeadow, MA 01028 | 2009-04-19 |
| 1861522302 | Arthur T Mcguire | Internal Medicine | 160 Pleasant St #307, Gastroenterology Assoc of Springfield, East Longmeadow, MA 01028 | 2007-03-06 |
| 1194874545 | Drs Scannell and Hollinger Inc | Dentist | 79 Maple Street, East Longmeadow, MA 01028 | 2007-01-08 |
| 1053468629 | Gina M Quinlivan | Advanced Practice Midwife | 382 N Main St Ste 205, East Longmeadow, MA 01028 | 2007-01-04 |
| 1609939784 | Belisa Ann Basile | Optometrist | 8 Center Square, E Longmeadow, MA 01028 | 2006-12-19 |
| Find all providers in zip 01028 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275744310 | Michael Jay Spink | Dentist | 382 N Main St Ste 202, East Longmeadow, MA 01028-1830 | 2007-05-24 |
| 1053321190 | Richard Joseph Fraziero | Dentist | 382 North Main Street, Suite 202, East Longmeadow, MA 01028 | 2006-08-09 |
| 1932488152 | Steven Duong Nguyen | Dentist | 382 N Main St Ste 202, East Longmeadow, MA 01028 | 2011-08-04 |
| 1417155276 | Facial Cosmetic & Maxillofacial Surgery P.C. | Dentist | 382 N Main St, Suite 202, East Longmeadow, MA 01028-1828 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573508 | Newton Dentistry PC | Dentist | 73 Lexington Street, Suite 204, Newton, MA 02466 | 2019-08-13 |
| 1700432143 | Middleboro Oral Surgeons, PC | Dentist | 47 Bedford St Unit 3, Middleboro, MA 02346-1047 | 2019-08-12 |
| 1508420621 | Nantucket Oral Surgery Pllc | Dentist | 19 1/2 Surfside Drive, Nantucket, MA 02554 | 2019-04-24 |
| 1750844080 | C.m.f.-cranio-maxillofacial Surgery Associates | Dentist | 366 Broadway Ste 100, Somerville, MA 02145-2812 | 2019-04-12 |
| 1669938130 | Milagros Serrano Dds, PC | Dentist | 1842 Beacon St Ste 303, Brookline, MA 02445-1922 | 2019-02-20 |
| 1669960027 | New England Family Dentistry,pc | Dentist | 366 Cooley St, Springfield, MA 01128-1144 | 2018-05-01 |
| 1528592029 | Jaegak Kim | Dentist | 850 Harrison Ave Fl 6, Boston, MA 02118-4001 | 2017-04-12 |
| 1609322452 | Lowell Oral Surgery Associates, Inc | Dentist | 26 North Rd, 2nd Floor, Chelmsford, MA 01824-2722 | 2016-08-31 |
| 1295189280 | Jonathan Bishop | Dentist | 208 Main St Ste 116, Milford, MA 01757-2502 | 2016-04-16 |
| 1790149987 | Capeside Oral&facial Surgery, Inc. | Dentist | 362 Gifford St, Falmouth, MA 02540-2912 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
| City | EAST LONGMEADOW |
| Zip Code | 01028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.