Individual
ADAM KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 LONG WHARF DR STE 404, NEW HAVEN, CT 06511-5991
(203) 688-2464
Mailing address
1 LONG WHARF DR STE 404, NEW HAVEN, CT 06511-5991
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13369
CT
122300000X
Dentist
DE60573245
WA
Other
Enumeration date
03/03/2014
Last updated
05/19/2022
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