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General NPI Number Information
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NPI Number | 1861053647
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Entity Type | Organization
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Legal Business Name | NICHOLAS M. KERNS, DDS, MS, LLC
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | NICHOLAS M. KERNS, DDS, MS, LLC, DBA COLUMBUS PEDIATRI 1021 COUNTRY CLUB RD, UNIT B
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City | COLUMBUS
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State | OH
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Zip | 43213
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Country | US
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Telephone | 614-868-0718
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Fax | 614-868-5444
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Provider Business Mailing Address
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Address Line | NICHOLAS M. KERNS, DDS, MS, LLC, DBA COLUMBUS PEDIATRI PO BOX 27230
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City | COLUMBUS
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State | OH
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Zip | 43227
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Country | US
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Telephone | 614-868-0718
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Fax | 614-868-5444
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Authorized Official
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Title or Position | OWNER, DOCTOR
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Name | DR. NICHOLAS M KERNS
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Credential | DDS, MS
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Telephone | 614-868-0718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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