Keith L. Dunoff, DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DI14766 Issued in NJ

Legal business name

KEITH L. DUNOFF, DMD, PA

Doing business as

Diversified Dental Services

Practice address

339 N Route 73
Suite 4 Winslow Professional Building
Berlin, NJ 08009-9707

Phone

(856) 753-1547

Fax

(856) 753-1548

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith Lawrence Dunoff, D.M.D.

Title

President

Phone

(856) 753-1547

Specialties & licenses 1

Addresses

Other names 1

• Diversified Dental Services Doing business as

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447319744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 N ROUTE 73",
            "address_2": "SUITE 4 WINSLOW PROFESSIONAL BUILDING",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099707",
            "telephone_number": "856-753-1547",
            "fax_number": "856-753-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 N ROUTE 73",
            "address_2": "SUITE 4 WINSLOW PROFESSIONAL BUILDING",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099707",
            "telephone_number": "856-753-1547",
            "fax_number": "856-753-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH L. DUNOFF, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNOFF",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-753-1547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI14766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Iacovelli
• Lissette Jamison
• Christine Patricia Jewel
• Ami K Joglekar
• Matthew Kavanaugh, PHARMD
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey
• Kelsch Associates Inc. New Jersey
• Joseph E. Kernizan, MD
• Danial Khan, PT, DPT

• Dentist in Berlin, NJ
• Providers in Berlin, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.