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

DR. MAX KERNIZAN, D.M.D.

Active Sole Proprietor

DR. MAX KERNIZAN, D.M.D. is a Oral & Maxillofacial Surgery healthcare provider located in EAST LONGMEADOW, Massachusetts. NPI 1811334493 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · EAST LONGMEADOW, MA

Registration Details

NPI Number
1811334493
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2013 (13.203201774075 yrs)
Last Updated
Jul 17, 2017
License
DN1857556 (MA)
Sole Proprietor
Yes

Practice Information

Address
382 N MAIN ST
EAST LONGMEADOW, MA, 010281828
Browse MA providers · Browse ZIP 01028
Phone
4135250100
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Providers in EAST LONGMEADOW, MA

Name Credential NPI
RICHARD JOSEPH FRAZIERO DMD MD 1053321190
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.