Organization
KENNEDY DENTISTRY, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER PATRICK KENNEDY D.D.S. (DR./OWNER)
(865) 947-2220
Entity
Organization
Contact information
Practice address
2529 W EMORY RD, POWELL, TN 37849-3712
(865) 947-2220
(865) 947-2223
Mailing address
2529 W EMORY RD, POWELL, TN 37849-3712
(865) 947-2220
(865) 947-2223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8101
TN
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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