# KENNEDY DENTISTRY, P. C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083625248
- **Authorized official:** DR. ROGER PATRICK KENNEDY D.D.S. (DR./OWNER)
- **Authorized official phone:** (865) 947-2220

## Contact information

- **Practice address:** 2529 W EMORY RD, POWELL, TN 37849-3712
- **Practice address phone:** (865) 947-2220
- **Practice address fax:** (865) 947-2223
- **Mailing address:** 2529 W EMORY RD, POWELL, TN 37849-3712
- **Mailing address phone:** (865) 947-2220
- **Mailing address fax:** (865) 947-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8101 | TN | Yes |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 08/22/2020