Provider Demographics
NPI:1861053647
Name:NICHOLAS M. KERNS, DDS, MS, LLC
Entity type:Organization
Organization Name:NICHOLAS M. KERNS, DDS, MS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:KERNS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:614-868-0718
Mailing Address - Street 1:NICHOLAS M. KERNS, DDS, MS, LLC, DBA COLUMBUS PEDIATRI
Mailing Address - Street 2:PO BOX 27230
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227
Mailing Address - Country:US
Mailing Address - Phone:614-868-0718
Mailing Address - Fax:614-868-5444
Practice Address - Street 1:NICHOLAS M. KERNS, DDS, MS, LLC, DBA COLUMBUS PEDIATRI
Practice Address - Street 2:1021 COUNTRY CLUB RD, UNIT B
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213
Practice Address - Country:US
Practice Address - Phone:614-868-0718
Practice Address - Fax:614-868-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty