Kenneth J Patterson DDS LLC

Dentist · Muncie, IN

Organization Active NPI

NPI number 1417330481

Practice location

1608 W Yale Ave
Muncie, IN 47304-1569
Phone
(765) 288-4882

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NPI record

NPI
1417330481
Entity type
Organization (Type 2)
Enumeration date
July 8, 2015
Last updated
July 8, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 12011558A IN

Authorized official

Name
Kenneth J Patterson, DDS
Title
Owner
Phone
(765) 288-4882

About Kenneth J Patterson DDS LLC

Kenneth J Patterson DDS LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1608 W Yale Ave, Muncie, IN 47304-1569. The NPI number 1417330481 was assigned on July 8, 2015 and the record was last updated on July 8, 2015.

Kenneth J Patterson DDS LLC lists a license in the registry: #12011558A (IN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Kenneth J Patterson, DDS, Owner.

Frequently asked questions

What is the NPI number of Kenneth J Patterson DDS LLC?

The NPI number is 1417330481.

What is the phone number of Kenneth J Patterson DDS LLC?

The phone number listed for the practice location is (765) 288-4882.

Where is Kenneth J Patterson DDS LLC located?

1608 W Yale Ave, Muncie, IN 47304-1569.

What is the taxonomy code for Kenneth J Patterson DDS LLC?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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