| Kennedy Dentistry, P. C. | |
|
2529 W Emory Rd Powell TN 37849-3712 | |
| (865) 947-2220 | |
| (865) 947-2223 |
| Full Name | Kennedy Dentistry, P. C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2529 W Emory Rd, Powell, Tennessee |
| Authorized Official Name and Position | Roger Patrick Kennedy (DR./OWNER) |
| Authorized Official Contact | 8659472220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Dentistry, P. C. 2529 W Emory Rd Powell TN 37849-3712 Ph: (865) 947-2220 | Kennedy Dentistry, P. C. 2529 W Emory Rd Powell TN 37849-3712 Ph: (865) 947-2220 |
| NPI Number | 1083625248 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083625248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8101 (Tennessee) | Primary |
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