NPI 1104981794 · live from the CMS NPI Registry
Kenneth John Agronin, DDS MSD
Dentist, Orthodontics and Dentofacial Orthopedics in Berea, OH. National Provider Identifier 1104981794, active.
NPI record
| NPI | 1104981794 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 359 Front St, Berea, OH 44017 |
| Practice phone | 440-234-4200 |
| Enumerated | December 26, 2006 |
| Last updated | January 19, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 16649 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.