Organization
KDC STAPLES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ALEXANDER KENNEDY III DDS (OWNER/DOCTOR)
(361) 992-9500
Entity
Organization
Contact information
Practice address
5525 S STAPLES ST STE B4, CORPUS CHRISTI, TX 78411-5367
(361) 992-9500
(361) 992-1862
Mailing address
6200 SARATOGA BLVD BLDG 1, CORPUS CHRISTI, TX 78414-3477
(361) 992-9500
(361) 992-1862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/04/2021
Last updated
12/15/2021
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