Provider Demographics
NPI:1093962110
Name:KEARNS, JAMES EDWARD VI (DMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:KEARNS
Suffix:VI
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 HAWTHORN ST
Mailing Address - Street 2:
Mailing Address - City:N DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747-3717
Mailing Address - Country:US
Mailing Address - Phone:508-994-5443
Mailing Address - Fax:508-994-5445
Practice Address - Street 1:530 HAWTHORN ST
Practice Address - Street 2:
Practice Address - City:N DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747-3717
Practice Address - Country:US
Practice Address - Phone:508-994-5443
Practice Address - Fax:508-994-5445
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16999122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist