Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Gregory Fellerman, DMD

Individual provider Dentist · NPI 1629226568

Dr. Kenneth Gregory Fellerman, DMD is a Dentist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

55 E 210th St Ste 1B
Bronx, NY 10467
Phone: (718) 547-8200
Fax: (718) 547-6540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 033489 (NY)

Record details

NPI number1629226568
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 4, 2008
Last updated in NPPESSeptember 4, 2008
Mailing address55 East 210th St, Bronx, NY 10467

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