| Thomas Kennedy, Dds Of Missouri Ii, Llc | |
|
9960 Kennerly Rd Ste B Saint Louis MO 63128-3075 | |
| (314) 849-2760 | |
| Not Available |
| Full Name | Thomas Kennedy, Dds Of Missouri Ii, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9960 Kennerly Rd Ste B, Saint Louis, Missouri |
| Authorized Official Name and Position | Haley Wooster (ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 3148492760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Kennedy, Dds Of Missouri Ii, Llc 9960 Kennerly Rd Ste B Saint Louis MO 63128-3075 Ph: (314) 849-2760 | Thomas Kennedy, Dds Of Missouri Ii, Llc 9960 Kennerly Rd Ste B Saint Louis MO 63128-3075 Ph: (314) 849-2760 |
| NPI Number | 1033823687 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033823687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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