Organization
GREGORY W KENNEDY DDS PLLC
Active
Other names
Commack Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY KENNEDY DDS (OWNER)
(631) 858-3377
Entity
Organization
Contact information
Practice address
164 COMMACK RD STE 4, COMMACK, NY 11725-3430
(631) 499-3377
Mailing address
164 COMMACK RD STE 4, COMMACK, NY 11725-3430
(631) 499-3377
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
04/04/2019
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