Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kelnerperiollc

Organization Periodontics · NPI 1205215050

Kelnerperiollc provides Periodontics in Clark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2015.

Licensed in
NJ
In the registry since
2015

Practice location Address checks out

67 Walnut Ave Ste 307
Clark, NJ 07066-1687 Not confirmed with CMS for 11 years — call before visiting
Phone: (732) 587-6740
Fax: (732) 587-6741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 22DI00899900 (NJ)

Record details

NPI number1205215050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Kelner — Partner Owner · (732) 587-6740
NPI enumeratedMay 27, 2015
Last updated in NPPESMay 27, 2015
Mailing address67 Walnut Ave Ste 307, Clark, NJ 07066-1687

Other providers in Clark