Christopher J Kearns, DDS
Individual provider Active NPI General Practice Dentistry · Chester, CT
NPI 1508985672 · NPPES record last updated Feb 14, 2019
Key facts
- NPI
- 1508985672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7155 (CT)
- Practice address
- 4 Water St
Chester, CT 06412-0510 - Phone
- (860) 526-4921
- Fax
- (840) 526-8150
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7155 | CT | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7155 | CT | Yes |
Addresses
Primary practice location
4 Water St
Chester, CT 06412-0510
Mailing address
PO Box 510
Chester, CT 06412-0510
Phone (860) 526-4921
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- Angel K Kendrick
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All providers in Chester, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.