# KENNEDY DENTAL ASSOCIATES, P.C.

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

## Provider details

- **NPI number:** 1679648521
- **Authorized official:** PHIL J THOMAS DDS (DENTIST PRESIDENT)
- **Authorized official phone:** (402) 291-3535

## Contact information

- **Practice address:** 1411 JF KENNEDY DRIVE, BELLEVUE, NE 68005-3693
- **Practice address phone:** (402) 291-3535
- **Practice address fax:** (402) 291-0760
- **Mailing address:** 1411 JF KENNEDY DRIVE, BELLEVUE, NE 68005-3693
- **Mailing address phone:** (402) 291-3535
- **Mailing address fax:** (402) 291-0760

## Taxonomy

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

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 05/04/2010