DR. KENNETH SHERMAN ROLL (NPI# 1912949934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912949934 |
Entity Type | Individual |
Full Name | DR. KENNETH SHERMAN ROLL |
Credential | D.D.S. |
Practice Address |
130 N Front St Suite #8 Kingston NY 12401-3741 |
Practice Telephone | 8453388812 |
Practice Fax Number | 8453389086 |
Mailing Telephone | 8453388812 |
Mailing Fax Number | 8453389086 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2010-06-09 |
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 |
033037 | NY | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00636728 | 05 |
Street Address |
130 N FRONT ST SUITE #8 |
City | KINGSTON |
State | NY |
Zip Code | 12401-3741 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043472947 | Joseph C. Erena | Dentist | 130 N Front St, Kingston, NY 12401-3741 | 2008-07-01 |
1942403407 | Zygmunt Dorozynski | Dentist | 130 N Front St, Kingston, NY 12401-3741 | 2007-06-11 |
1922211671 | Gary E. Leinkram | Dentist | 130 N Front St, Kingston, NY 12401-3741 | 2007-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
Find all providers in zip 12401 |
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 |
---|---|---|---|---|
1144358821 | James Thomas Shields | Dentist | 40 Hurley Ave Suite 14, Kingston, NY 12401 | 2007-03-02 |
1770557118 | Callahan and Bergey Associates P.C. | Dentist | 550 3rd Ave, Suite #1, Kingston, PA 18704-5806 | 2006-02-14 |
1194945741 | Matthew Anthony Hilmi | Dentist | 117 Marys Ave, 104, Kingston, NY 12401-5849 | 2007-04-26 |
1356468193 | Mid-hudson Oral and Maxillofacial PC | Dentist | 117 Marys Ave, 104, Kingston, NY 12401-5849 | 2007-03-26 |
1154419042 | Miriam Caroline Omalley | Dentist | 550 3rd Ave, Ste 1, Kingston, PA 18704-5806 | 2006-10-10 |
1972526739 | Richard Levy | Dentist | 300 Market St, Kingston, PA 18704-5426 | 2006-07-25 |
1386618643 | David Alan Bergey | Dentist | 550 3rd Ave, Suite#1, Kingston, PA 18704-5806 | 2006-02-14 |
1649244906 | Michael Dennis Callahan | Dentist | 550 3rd Ave, Suite#1, Kingston, PA 18704-5806 | 2006-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
1235777566 | Asnis Dental Pllc | Dentist | 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 | 2019-12-17 |
1700420429 | Chavkin Oral and Maxillofacial Surgery LLC | Dentist | 414 Jericho Tpke Ste 2, New Hyde Park, NY 11040-4510 | 2019-11-06 |
1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
1750947792 | Eduard Munarov Dds PC | Dentist | 449 N State Rd Ste 102, Briarcliff Manor, NY 10510-1478 | 2019-05-15 |
1598227530 | Asnis Dental Pllc | Dentist | 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772-4862 | 2019-04-01 |
1720545387 | Asnis Dental, Pllc | Dentist | 260 Middle Country Rd Ste 12, Selden, NY 11784-2570 | 2019-03-01 |
1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
Find all providers with the same taxonomy |
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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.