Kenneth Anthony Alspach, DMD
Individual provider Active NPI Dentist · Dayton, NJ
NPI 1104013341 · NPPES record last updated Oct 2, 2007
Key facts
- NPI
- 1104013341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22DI01431400 (NJ)
- Practice address
- 338 Georges Rd
Dayton, NJ 08810-1546 - Phone
- (732) 329-3113
- Fax
- (732) 329-2889
- NPI assigned
- Oct 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 15, 2016 through Jan 15, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI01431400 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors of Dental Medicine. LLP | Past | Accepting new patients | |
| Dayton Dental Associates, LLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI01431400 | NJ | Yes |
Addresses
Primary practice location
338 Georges Rd
Dayton, NJ 08810-1546
Mailing address
338 Georges Rd
Dayton, NJ 08810-1546
Phone (732) 329-3113
Other providers in Dayton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.