National Provider Identifier

Johan Olav Kjorven, DDS

Johan Olav Kjorven, DDS is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (646) 509-4440.

NPI 1477356483Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1477356483
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 27, 2025
Last Updated
March 27, 2025

Practice Location

  • 187 Norwalk Ave
  • Buffalo, NY 14216-2421

Phone: (646) 509-4440

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1477356483
Entity Type
Individual
Last Name
Kjorven
First Name
Johan
Middle Name
Olav
Credential
DDS
Mailing Street Address
187 Norwalk Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-2421
Mailing Country
US
Mailing Phone
(646) 509-4440
Practice Street Address
187 Norwalk Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216-2421
Practice Country
US
Practice Phone
(646) 509-4440
Enumeration Date
March 27, 2025
Last Updated
March 27, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
March 27, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)