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Contact Information

ALFRED R GERNERT, DMD MS ORTHODONTICS
604 CRYSTAL PLACE
SITE 2A
CRESTWOOD, KY40031
 Phone: 502-222-6202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ALFRED R GERNERT · (Male)

NPI Number 1205817145
Status Active
Credentials DMD MS ORTHODONTICS
Entity Individual
Enumeration date 11/08/2005
Last updated 08/17/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 3961
  • KY Medicaid 0008607
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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