Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH MARTIN HARTENIAN, DMD
ActiveDR. KENNETH MARTIN HARTENIAN, DMD is a Oral & Maxillofacial Surgery healthcare provider located in MANITOWOC, Wisconsin. NPI 1396832028 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MANITOWOC, WI
Registration Details
- NPI Number
- 1396832028
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.875873576972 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5001323 (WI)
Practice Information
- Address
-
33 E WALDO BLVDMANITOWOC, WI, 54220Browse WI providers · Browse ZIP 54220
- Phone
- 9206843353
- Fax
- 9206848786
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.