Provider Demographics
NPI:1457599730
Name:KURIAN, JINU VINU (DDS)
Entity type:Individual
Prefix:DR
First Name:JINU
Middle Name:VINU
Last Name:KURIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:07419-1108
Mailing Address - Country:US
Mailing Address - Phone:973-209-6252
Mailing Address - Fax:973-209-8787
Practice Address - Street 1:RT 611 TANNERSVILLE
Practice Address - Street 2:
Practice Address - City:TANNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18372-0485
Practice Address - Country:US
Practice Address - Phone:570-629-1570
Practice Address - Fax:570-629-1187
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO356831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice