# KENNEDY FAMILY DENTISTRY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Bobby C. Kennedy, DDS.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407049612
- **Authorized official:** MRS. TIFFANY MONIQUE SETTLE OM (OFFICE MANAGER)
- **Authorized official phone:** (916) 487-5152

## Contact information

- **Practice address:** 1611 EXECUTIVE CT STE 200, SACRAMENTO, CA 95864-2648
- **Practice address phone:** (916) 487-5160
- **Mailing address:** 1611 EXECUTIVE CT STE 200, SACRAMENTO, CA 95864-2648
- **Mailing address phone:** (916) 487-5160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 35625 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2007
- **Last updated:** 07/31/2008