Organization
SPRING CREEK PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN KENNEDY JR. DDS (DENTIST)
(931) 206-0852
Entity
Organization
Contact information
Practice address
2698 TOWNSEND CT STE A, CLARKSVILLE, TN 37043-2699
(931) 648-9930
(931) 444-3407
Mailing address
2698 TOWNSEND CT STE A, CLARKSVILLE, TN 37043-2699
(931) 648-9930
(931) 444-3407
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527793
—
TN
05
—
7101128960
—
KY
Enumeration date
09/26/2018
Last updated
04/01/2026
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