Provider Demographics
NPI:1366530719
Name:FOLLMAR, KENNETH EARL II (DDS)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:EARL
Last Name:FOLLMAR
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:14511 SOUTH BASCOM AVE
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032
Mailing Address - Country:US
Mailing Address - Phone:408-356-3146
Mailing Address - Fax:408-356-0267
Practice Address - Street 1:14511 SOUTH BASCOM AVE
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032
Practice Address - Country:US
Practice Address - Phone:408-356-3146
Practice Address - Fax:408-356-0267
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA307851223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery