Provider Demographics
NPI:1306958863
Name:KERN, DONALD F (DDS)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:F
Last Name:KERN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DONALD
Other - Middle Name:F
Other - Last Name:KERN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:401 GREEN MEADOWS DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-5740
Mailing Address - Country:US
Mailing Address - Phone:757-495-8775
Mailing Address - Fax:757-495-3199
Practice Address - Street 1:401 GREEN MEADOWS DR
Practice Address - Street 2:SUITE B
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5740
Practice Address - Country:US
Practice Address - Phone:757-495-8775
Practice Address - Fax:757-495-3199
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00195289791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice