Ann Douglas Kennedy, DDS | |
16607 Riverstone Way Ste 300, Charlotte, NC 28277 | |
(704) 544-5000 | |
Not Available |
Full Name | Ann Douglas Kennedy |
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Gender | Female |
Speciality | Dentist - Pediatric Dentistry |
Location | 16607 Riverstone Way Ste 300, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700266236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 10082 (North Carolina) | Primary |
122300000X | Dentist | 10082 (North Carolina) | Secondary |
Entity Name | Brookdale Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
Mailing Address | Practice Location Address |
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Ann Douglas Kennedy, DDS 16607 Riverstone Way Ste 300, Charlotte, NC 28277-5750 Ph: (336) 209-2974 | Ann Douglas Kennedy, DDS 16607 Riverstone Way Ste 300, Charlotte, NC 28277 Ph: (704) 544-5000 |
Dr. Sejal Chandrakant Patel, DDS Dentist Medicare: Medicare Enrolled Practice Location: 14415 William Davie Ln, Charlotte, NC 28277 Phone: 704-488-3911 | |
Raghavanand Sundaresh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 620 N Church St Ste 113, Charlotte, NC 28202 Phone: 704-773-3771 | |
Gwyn Davis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 8420 University Exec Park Dr, Suite 805, Charlotte, NC 28262 Phone: 704-594-9250 | |
Dr. Alfred Kenneth Stockin, DDS DENTIST Dentist Medicare: Medicare Enrolled Practice Location: 3535 Randolph Road, Suite 200 Randolph Medical Park, Charlotte, NC 28211 Phone: 704-364-1191 Fax: 704-364-1185 | |
Dr. Joan Peyton Diehl, DMD Dentist Medicare: Medicare Enrolled Practice Location: 11235 Lawyers Road, Charlotte, NC 28227 Phone: 704-545-8831 Fax: 704-545-2354 | |
Dr. Chad Jeremy Vanourny, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13557 Steelecroft Pkwy Ste 2400, Charlotte, NC 28278 Phone: 704-594-8496 | |
Kevin Hale Black, DDS, MD Dentist Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 |