Provider Demographics
NPI:1639258064
Name:DONALD H. KAHN, D.M.D., P.A.
Entity Type:Organization
Organization Name:DONALD H. KAHN, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:732-238-6162
Mailing Address - Street 1:PO BOX 6479
Mailing Address - Street 2:C1 CORNWALL COURT
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-6479
Mailing Address - Country:US
Mailing Address - Phone:732-238-6162
Mailing Address - Fax:732-238-5929
Practice Address - Street 1:C1 CORNWALL CT
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3352
Practice Address - Country:US
Practice Address - Phone:732-238-6162
Practice Address - Fax:732-238-5929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI009931001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty