Dennis W Kiernan, DMD

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN012554 Issued in GA

Practice address

25501 Brainard Ave, USA Dentac Snyder Dental Clinic
Snyder Dental Clinic
Ft. Eisenhower, GA 30905-0000

Phone

(706) 787-7050

NPI assigned

May 22, 2006

Last updated

Mar 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1275587107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25501 BRAINARD AVE",
            "city": "FT. EISENHOWER",
            "state": "GA",
            "postal_code": "309050000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25501 BRAINARD AVE, USA DENTAC SNYDER DENTAL CLINIC",
            "address_2": "SNYDER DENTAL CLINIC",
            "city": "FT. EISENHOWER",
            "state": "GA",
            "postal_code": "309050000",
            "telephone_number": "706-787-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "DENNIS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "GA",
            "license": "DN012554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZG2554",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153580911A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Ingle, LCSW
• Morgan Ashley Ingram, DO
• Caitlyn Jarrio, MD
• Christopher Barrett Jones, M.D.
• Joseph Alexander Kerr, MD
• Josiah L Kietzman, DO
• Anthony Charles Kight, DDS
• Ashley R Killings, D.M.D
• Kaylee Marie Konyuk
• Laura Krause, DO

• Prosthodontics in Fort Eisenhower, GA
• Providers in Fort Eisenhower, GA by specialty
• Prosthodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.