Individual
DR. JOHNNY DALE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1911 CONGRESS PKWY, ATHENS, TN 37303
(423) 745-2630
(423) 745-2632
Mailing address
1911 CONGRESS PKWY, PO BOX 1029, ATHENS, TN 37371-1029
(423) 745-2630
(423) 745-2632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3459
TN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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