GREGORY W KENNEDY DDS PLLC (NPI# 1528532009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528532009 |
| Entity Type | Organization |
| Organization Name | GREGORY W KENNEDY DDS PLLC |
| Other Organization Name | COMMACK DENTAL ASSOCIATES |
| Practice Address |
164 Commack Rd Ste 4 Commack NY 11725-3430 |
| Practice Telephone | 6314993377 |
| Mailing Telephone | 6314993377 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | GREGORY KENNEDY (OWNER) |
| Authorized Official Telephone | 6318583377 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| Other Name | Type Code |
|---|---|
| Commack Dental Associates | Doing Business As Name - Organization |
| Street Address |
164 COMMACK RD STE 4 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922256593 | Avery Biomedical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 61 Mall Dr, Commack, NY 11725-5703 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909988 | Hair By Lady Sha LLC | Durable Medical Equipment & Medical Supplies | 395 E 3rd St, Mount Vernon, NY 10553-5124 | 2020-10-12 |
| 1104423714 | Hair By Shay Bonnie | Durable Medical Equipment & Medical Supplies | 15 William St # C, Central Islip, NY 11722-2404 | 2020-10-06 |
| 1043817976 | Complete Ortho Supply Inc. | Durable Medical Equipment & Medical Supplies | 1701 Avenue P Ste M, Brooklyn, NY 11229-1205 | 2020-10-04 |
| 1891301412 | Nf Med Supplies Corp | Durable Medical Equipment & Medical Supplies | 29 Montrose Ave Apt 2b, Brooklyn, NY 11206-2499 | 2020-09-18 |
| 1396350195 | Northeast Orthopedic Network | Durable Medical Equipment & Medical Supplies | 41 Flatbrush Ave, Floors 1 & 2, Brooklyn, NY 11217 | 2020-09-09 |
| 1851904718 | Caremax Dme, Inc. | Durable Medical Equipment & Medical Supplies | 22003 Jamaica Ave Lowr Level, Jamaica, NY 11428-2140 | 2020-08-28 |
| 1821601782 | Healthdepot Dme, Inc. | Durable Medical Equipment & Medical Supplies | 7001 Metropolitan Ave Lowr Level, Middle Village, NY 11379-2191 | 2020-08-28 |
| 1649882895 | Daniel Akilov | Durable Medical Equipment & Medical Supplies | 8022 210th St, Queens Village, NY 11427-1011 | 2020-08-19 |
| 1487271722 | Larry Kleinstein | Durable Medical Equipment & Medical Supplies | 437 W 44th St Apt 2re, New York, NY 10036-4443 | 2020-07-02 |
| 1023630126 | Ocean Wave Sleep and Snore Solutions LLC | Durable Medical Equipment & Medical Supplies | 3377 Long Beach Rd Ste C, Oceanside, NY 11572-5063 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GREGORY W KENNEDY DDS PLLC.
| 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.