Organization
JEFFREY R KENNEDY DDS PA
Active
Other names
Kennedy Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R KENNEDY DDS (PRESIDENT OWNER)
(919) 967-9291
Entity
Organization
Contact information
Practice address
123 FRANKLIN STREET, SUITE 201, CHAPEL HILL, NC 27516
(919) 967-9291
(919) 942-4446
Mailing address
123 FRANKLIN STREET, SUITE 201, CHAPEL HILL, NC 27516
(919) 967-9291
(919) 942-4446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137N
BCBS
—
05
—
89902KF
—
NC
Enumeration date
07/26/2006
Last updated
03/07/2023
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