Provider Demographics
NPI:1265589790
Name:KROWNE, KENNETH LLOYD (DMD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:LLOYD
Last Name:KROWNE
Suffix:
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 1:209 HARVARD STREET
Mailing Address - Street 2:SUITE 307
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446
Mailing Address - Country:US
Mailing Address - Phone:617-734-8300
Mailing Address - Fax:617-232-5150
Practice Address - Street 1:209 HARVARD STREET
Practice Address - Street 2:SUITE 307
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446
Practice Address - Country:US
Practice Address - Phone:617-734-8300
Practice Address - Fax:617-232-5150
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA127801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice