Kennedy Dentistry, P. C.

NPI 1083625248 - Dentist - 1223G0001X

NPI Details
NPI 1083625248
Enumeration Date 08/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROGER PATRICK ROGER
Position DR./OWNER
Phone (865) 947-2220
Fax (865) 947-2223
Practice Location
2529 W EMORY RD
POWELL TN, 37849-3712, US
Phone (865) 947-2220
Fax (865) 947-2223
Business Location
2529 W EMORY RD
POWELL TN, 37849-3712, US
Phone (865) 947-2220
Fax (865) 947-2223
Toxanomy
Taxonomy Code 1223G0001X
License State Tennessee
License Number 8101
Remove 1083625248 NPI Number
 

According to our database, Kennedy Dentistry, P. C. NPI is 1083625248, taxonomy code is 1223G0001X and license number is 8101, license state is located at Tennessee. Kennedy Dentistry, P. C. physically located at 2529 W Emory Rd, Powell TN, 37849-3712. NPI Number 1033115704 has the healthcare provider type.

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1083625248 NPI number is provided on an as is basis without warranty of any kind. 1083625248 is maintained by the National Plan & Provider Enumeration System. The contents of Kennedy Dentistry, P. C. are for informational purposes only.