MEDICARE: KEXIN ZHANG DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	122300000X	Dentist	22DI03095400	NJ

General Provider Information

NPI Number	:	1790488807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEXIN ZHANG DDS

Provider Business Mailing Address
First Line	:	2 EXECUTIVE DR APT 708
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-3348
Country	:	US
Telephone Number	:	646-468-2365
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 ERNSTON RD
Second Line	:
City	:	PARLIN
State	:	NJ
Zip	:	08859-1947
Country	:	US
Telephone Number	:	732-553-1313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	07/18/2025

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Directions to “ KEXIN ZHANG DDS” Practice Location

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