KENNEDY DENTAL OFFICE (NPI# 1447311451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447311451 |
| Entity Type | Organization |
| Organization Name | KENNEDY DENTAL OFFICE |
| Practice Address |
410 4th Ave Montgomery WV 25136-2105 |
| Practice Telephone | 3044422488 |
| Practice Fax Number | 3044428835 |
| Mailing Telephone | 3044422488 |
| Mailing Fax Number | 3044428835 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KIMBERLY A. DILLON (ACCOUNT MANAGER) |
| Authorized Official Telephone | 3047449717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033270970 | Kennedy Dental Office | Dentist | 38924 Coal River Rd., Whitesville, WV 25209 | 2006-12-13 |
| Street Address |
410 4TH AVE |
| City | MONTGOMERY |
| State | WV |
| Zip Code | 25136-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346301215 | Carl L Kennedy | Dentist | 410 4th Ave, Montgomery, WV 25136-2105 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861618738 | Saghir Ur Rehman Mir | Orthopaedic Surgery | 401 6th Avenue, Suite 302, Montgomery, WV 25136 | 2007-04-18 |
| 1871684324 | Montgomery General Hospital, Inc. | Skilled Nursing Facility | 401 Sixth Avenue, Montgomery, WV 25136 | 2006-09-28 |
| 1124070149 | Adin Lim Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-17 |
| 1902350275 | Willard Truman Long Jr. | Social Worker | 410 Ferry St, Montgomery, WV 25136 | 2016-08-04 |
| 1922160787 | Adin L Timbayan Md Inc | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-12-15 |
| 1245281195 | Victoria Santos Timbayan | General Practice | 411 Washington St, Montgomery, WV 25136 | 2006-05-15 |
| 1295809507 | Lou Ann Bowen | Anesthesiology | 401 6th Ave, Montgomery, WV 25136-0270 | 2006-11-20 |
| 1063591816 | Karon Rae Myers | Registered Nurse | 401 Sixth Avenue, Montgomery General Hospital, Montgomery, WV 25136-0270 | 2006-11-03 |
| 1467614933 | Arpan Kohli | Student in an Organized Health Care Education/Training Program | 420 3rd Ave, Montgomery, WV 25136-2101 | 2008-06-26 |
| 1437525714 | Bio-medical Applications of West Virginia, Inc. | Clinic/Center | 506 3rd Ave, Montgomery, WV 25136-2102 | 2015-08-20 |
| Find all providers in zip 25136 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477107217 | Julian Brandt Smith | Dentist | 2642 Bell Road, Montgomery, AL 36117-7559 | 2019-07-30 |
| 1669931721 | Shirley Jennifer Daniel | Dentist | 6941 Eastchase Loop, Montgomery, AL 36117-6876 | 2019-03-18 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
| 1891201430 | Cranfill Dental of Al LLC | Dentist | 150 S Perry St, Montgomery, AL 36104-4227 | 2017-12-19 |
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1114392107 | Tooth Buds At Lagoon Park, LLC | Dentist | 553 N Eastern Blvd, Montgomery, AL 36117-2213 | 2015-12-02 |
| 1275872426 | Johnny M. Griffin Dds PC | Dentist | 1401 I85 Pkwy Ste D, Montgomery, AL 36106-2833 | 2013-02-07 |
| 1639444342 | Homer William Smith | Dentist | 619 Second Avenue, Montgomery, WV 25136-2435 | 2012-03-13 |
| 1629242441 | Ricky Warner Logan | Dentist | 4711 Atlanta Hwy, Montgomery, AL 36109-3240 | 2008-04-14 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 25136 |
Please comment or provide details below to improve the information on KENNEDY DENTAL OFFICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.