# KENNEDY UPPERMAN FAMILY DENTISTRY AND ORTHODONTICS LLC

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

## Provider details

- **NPI number:** 1093350084
- **Authorized official:** ALLISON KENNEDY (MEMBER)
- **Authorized official phone:** (740) 701-8171

## Contact information

- **Practice address:** 624 CENTRAL CTR, CHILLICOTHE, OH 45601-2248
- **Practice address phone:** (740) 773-4166
- **Mailing address:** 624 CENTRAL CTR, CHILLICOTHE, OH 45601-2248
- **Mailing address phone:** (740) 773-4166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2019
- **Last updated:** 01/12/2020