Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH GERSTEIN, DDS
Active Sole ProprietorKENNETH GERSTEIN, DDS is a Periodontology healthcare provider located in BLOOMINGTON, Illinois. NPI 1730243056 is currently active in the NPPES registry. Verify at CMS.
Periodontology · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1730243056
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2006 (19.664013017358 yrs)
- Last Updated
- Sep 23, 2009
- Licenses
-
019014048 (IL)021001002 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1404 EASTLAND DRBLOOMINGTON, IL, 617013532Browse IL providers · Browse ZIP 61701
- Phone
- 3096634711
- Fax
- 3096631854
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ANTHONY PECORA PECORA | D.D.S.,M.S. | 1366539744 |
| DR. KIRK WILLIAM NORAIAN | D.D.S. | 1023138120 |
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.