Provider Demographics
NPI:1265684294
Name:KANE, JULIANNE M (DMD)
Entity Type:Individual
Prefix:
First Name:JULIANNE
Middle Name:M
Last Name:KANE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:JULIANNE
Other - Middle Name:MARIE
Other - Last Name:O'CONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:148 WEST END AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876
Mailing Address - Country:US
Mailing Address - Phone:908-526-1600
Mailing Address - Fax:908-526-9140
Practice Address - Street 1:148 WEST END AVE
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876
Practice Address - Country:US
Practice Address - Phone:908-526-1600
Practice Address - Fax:908-526-9140
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023763001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry