Provider Demographics
NPI:1871835702
Name:DENARDO, KENNETH CARMEN (DMD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:CARMEN
Last Name:DENARDO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 COMMERCE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-3188
Mailing Address - Country:US
Mailing Address - Phone:412-264-3499
Mailing Address - Fax:412-264-3524
Practice Address - Street 1:200 COMMERCE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-3188
Practice Address - Country:US
Practice Address - Phone:412-264-3499
Practice Address - Fax:412-264-3524
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019867L1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics