| Kennon Dental Associates Pa | |
|
2309 St Andrews #b Panama City FL 32413 | |
| (850) 769-1034 | |
| Not Available |
| Full Name | Kennon Dental Associates Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2309 St Andrews, Panama City, Florida |
| Authorized Official Name and Position | Joe Branch Kennon (OWNER) |
| Authorized Official Contact | 8507691034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennon Dental Associates Pa 2309 St Andrews B Panama City FL 32413 Ph: (850) 769-1034 | Kennon Dental Associates Pa 2309 St Andrews #b Panama City FL 32413 Ph: (850) 769-1034 |
| NPI Number | 1518178334 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518178334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4868 (Florida) | Primary |
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