Herbert Brightman Kinney, DDS

Individual provider Active NPI General Practice Dentistry · Orleans, MA

NPI 1811079833 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811079833
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12509 (MA)
Practice address
247 RT 6a
Orleans, MA 02653-3107
Phone
(508) 255-6180
NPI assigned
Oct 19, 2006
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)
Yes

State licenses

LicenseStateTypeSpecialty
12509MAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12509 MA Yes

Addresses

Primary practice location

247 RT 6a
Orleans, MA 02653-3107

Mailing address

PO Box 1739
247 Cranberry Hwy.
Orleans, MA 02653-1739
Phone (508) 255-6180

Other providers in Orleans, MA

All providers in Orleans, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.