DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH L. MINIMAN, D.D.S.

Active Sole Proprietor

DR. KENNETH L. MINIMAN, D.D.S. is a Pediatric Dentistry healthcare provider located in MEDIA, Pennsylvania. NPI 1699845586 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · MEDIA, PA

Registration Details

NPI Number
1699845586
Provider Type
Individual
Gender
Male
NPI Issued
Nov 8, 2006 (19.808452505442 yrs)
Last Updated
Jul 8, 2007
License
DS019654L (PA)
Sole Proprietor
Yes

Practice Information

Address
1022 EAST BALTIMORE PK
MEDIA, PA, 190635122
Browse PA providers · Browse ZIP 19063
Phone
6105657850
Fax
6105658626
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in MEDIA, PA

Name Credential NPI
DR. MARIA CLAIRE FIELD DDS 1942221338
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.