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Organization
LEIGHTON M. KENNEDY, DMD, PLLC
Active
Organization
LEIGHTON M. KENNEDY, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGHTON M KENNEDY DMD (OWNER)
(336) 601-6731
Entity
Organization
Contact information
Practice address
134 PROFESSIONAL PARK DR STE 100, MOORESVILLE, NC 28117-5600
(704) 799-0377
Mailing address
19920 SCANMAR LN, CORNELIUS, NC 28031-6305
(336) 601-6731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
NULL
Other
Enumeration date
12/19/2021
Last updated
01/05/2022
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