# MARTIN F KENNEDY DDS PC

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

## Provider details

- **NPI number:** 1780738161
- **Authorized official:** DR. MARTIN F KENNEDY DDS (DENTIST OWNER)
- **Authorized official phone:** (812) 883-2791

## Contact information

- **Practice address:** 1600 S STATE RD 135, SALEM, IN 47167
- **Practice address phone:** (812) 883-2791
- **Practice address fax:** (812) 883-4007
- **Mailing address:** PO BOX 387, 1600 S STATE RD 135, SALEM, IN 47167-0387
- **Mailing address phone:** (812) 883-2791
- **Mailing address fax:** (812) 883-4007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12006202 | IN | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/22/2020