DR. HUNTER MATTHEW KENNIS (NPI# 1740804020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740804020 |
| Entity Type | Individual |
| Full Name | DR. HUNTER MATTHEW KENNIS |
| Credential | DMD |
| Practice Address |
169 Ashley Ave Rm 202 Charleston SC 29425-8905 |
| Mailing Address |
169 Ashley Ave Charleston SC 29425-8905 |
| Practice Telephone | 8437922575 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9631 | SC | Dental Providers |
| Street Address |
169 ASHLEY AVE RM 202 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912169012 | Heather Rae Goode | Psychiatry & Neurology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2008-06-30 |
| 1285235705 | Cody Charles Ashy | Orthopaedic Surgery | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-11-02 |
| 1467078600 | Dawn Radford | Psychiatry & Neurology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-23 |
| 1477179844 | Cecilia Lipman Taylor | Anesthesiology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-22 |
| 1093331373 | Andrew Park | Anesthesiology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-22 |
| 1306462882 | Andrew Cole | Surgery | 169 Ashley Ave Rm 202, Charleston, SC 29425-9413 | 2020-06-22 |
| 1366068884 | Alanoud Alhadyani | Internal Medicine | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-20 |
| 1124644869 | James Nelson Reed | Internal Medicine | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-18 |
| 1144846965 | Michaela Falstad Close | Surgery | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-17 |
| 1467077388 | Alexandra Jean Lopez | Internal Medicine | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963508 | Clements Ferry Dentistry LLC | Dentist | 1951 Clements Ferry Rd Ste 201, Charleston, SC 29492-8325 | 2020-05-11 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1205290764 | Sloan Rehder | Dentist | 2051 Sam Rittenberg Blvd, Charleston, SC 29407-4683 | 2016-04-11 |
| 1679954705 | Coafs Lab | Dentist | 125 Wappoo Creek Dr Ste C1, Charleston, SC 29412-2161 | 2015-06-15 |
| 1952798357 | Now Or Never 2011, LLC | Dentist | 2270 Ashley Crossing Dr Ste 175, Charleston, SC 29414-5863 | 2015-04-23 |
| 1124296470 | M. Stephen Brandon, Dds LLC | Dentist | 1051 Gardner Rd Ste B, Charleston, SC 29407-5747 | 2008-02-20 |
| 1043409063 | Charleston Oral and Facial Surgery, Inc. | Dentist | 125 Wappoo Creek Dr, Suite 1, Charleston, SC 29412-2163 | 2007-10-16 |
| 1659442309 | Edward Elias Howard | Dentist | 1321 Virginia St E, Charleston, WV 25301 | 2006-11-13 |
| 1376614024 | Richard Lee Howard | Dentist | 1321 Virginia St East, Charleston, WV 25301 | 2006-11-13 |
| 1568543619 | Francis Simons Hane Jr. | Dentist | 96 Jonathan Lucas, Charleston, SC 29425 | 2006-10-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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| 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.