Kinan Kanbar, D.M.D
Dentist, General Practice in Acton, MA. Individual provider (NPI-1).
NPI number1487738340
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1487738340
- Entity type
- Individual (NPI-1)
- Name
- Kinan Kanbar
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19336 | MA | Yes |
Practice location
296 Great RdActon, MA 01720-4710
Phone 978-263-8525 · Fax 978-263-2955
Mailing address
296 Great RdActon, MA 01720-4710
Phone 978-263-8525 · Fax 978-263-2955
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