Provider Demographics
NPI:1811335938
Name:KEARNS, BRITNI LOREN (DMD)
Entity type:Individual
Prefix:DR
First Name:BRITNI
Middle Name:LOREN
Last Name:KEARNS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:AVON BY THE SEA
Mailing Address - State:NJ
Mailing Address - Zip Code:07717-1157
Mailing Address - Country:US
Mailing Address - Phone:732-775-1492
Mailing Address - Fax:732-775-1498
Practice Address - Street 1:514 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:AVON BY THE SEA
Practice Address - State:NJ
Practice Address - Zip Code:07717-1157
Practice Address - Country:US
Practice Address - Phone:732-775-1492
Practice Address - Fax:732-775-1498
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2015-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI026017001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDI02601700OtherDENTAL LICENSE