DR. ROSELYN BROOKS KENNEDY DMD NPI 1922214691

NPI Information

NPI: 1922214691
Provider Name: DR. ROSELYN BROOKS KENNEDY, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1400 WALTER REED RD
STE 200
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 864-9884
Get Directions

DR. Roselyn Brooks Kennedy, DMD is a pediatric dentistry dentist in Fayetteville, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Roselyn Brooks Kennedy, DMD NPI is 1922214691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1400 WALTER REED RD
STE 200
FAYETTEVILLE, NC
ZIP 28304-411
Phone: (910) 864-9884
Fax: (910) 354-1399

The enumeration date for this NPI number is 5/16/2007 and was last updated on 2/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	30019228	OHIO	No
2	1223P0221X	Dentist	Pediatric Dentistry	8365	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0102838	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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