IndividualActive
Kenneth Hartenian, DMD
NPI 1396832028 · Oral and Maxillofacial Surgery (Dentist) · Manitowoc, WI
Provider details
- NPI number
- 1396832028
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 5001323 (WI)
Specialties & taxonomies
Dental Providers
Practice location
33 E Waldo Blvd
Manitowoc, WI 54220
Phone: (920) 684-3353
Fax: (920) 684-8786
Approximate (ZIP-level) locationGet directions
Mailing address
33 E Waldo Blvd
Manitowoc, WI 54220
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.