# KENNETT ENDODONTICS, PC

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

## Provider details

- **NPI number:** 1316184799
- **Authorized official:** MS. CYNTHIA KELLY (OFFICE MANAGER)
- **Authorized official phone:** (302) 733-7600

## Contact information

- **Practice address:** 120 LAFAYETTE ST, KENNETT SQUARE, PA 19348-3000
- **Practice address phone:** (610) 444-6997
- **Mailing address:** 120 LAFAYETTE ST, KENNETT SQUARE, PA 19348-3000
- **Mailing address phone:** (610) 444-6997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 01/07/2009