Organization
COMMACK DENTAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY WAYNE KENNEDY DDS (DR.)
(631) 499-3377
Entity
Organization
Contact information
Practice address
164 COMMACK RD, SUITE 4, COMMACK, NY 11725-3430
(631) 499-3377
(631) 858-0586
Mailing address
164 COMMACK RD, SUITE 4, COMMACK, NY 11725-3430
(631) 499-3377
(631) 858-0586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039664
NY
Other
Enumeration date
05/22/2007
Last updated
03/20/2009
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