Francis Joseph Keneally Jr., DMD

Individual provider Active NPI Dentist · North Plainfield, NJ

NPI 1326168147 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1326168147
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
009113 (NJ)
Practice address
46 Pearl St
North Plainfield, NJ 07060
Phone
(908) 756-5544
Fax
(908) 756-6117
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150602000371 NJ Order and Referring Only - Dentist
Practitioner - Dentist
9234450354

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
009113NJMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 009113 NJ Yes

Addresses

Primary practice location

46 Pearl St
North Plainfield, NJ 07060

Mailing address

46 Pearl St
North Plainfield, NJ 07060
Phone (908) 756-5544

Other providers in North Plainfield, NJ

All providers in North Plainfield, NJ · Dentist in New Jersey

Sources for this page

Verify at the official NPI Registry.