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

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