Organization
AMY KENNY DMD, LLC
Active
Other names
Kenny Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KENNY DMD (OWNER)
(251) 599-3202
Entity
Organization
Contact information
Practice address
1166 US-90, BAY ST LOUIS, MS 39520
(228) 688-0624
(228) 688-0625
Mailing address
1166 US-90, BAY ST LOUIS, MS 39520
(228) 688-0624
(228) 688-0625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00153870
—
MS
Enumeration date
08/18/2022
Last updated
10/05/2022
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