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THOMAS KENNEDY DDS OF MISSOURI II LLC NPI 1508245663


NPI Information

NPI: 1508245663
Provider Name: THOMAS KENNEDY, DDS OF MISSOURI II, LLC

Doing Business As: DENTURES AND DENTAL SERVICES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2609 N KANSAS EXPY
SPRINGFIELD, MO
ZIP 65803
Phone: (417) 501-8922
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THOMAS KENNEDY, DDS OF MISSOURI II, LLC is a general practice dentist in Springfield, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. THOMAS KENNEDY, DDS OF MISSOURI II, LLC NPI is 1508245663. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dentures And Dental Services.

The provider's business location address is:

2609 N KANSAS EXPY
SPRINGFIELD, MO
ZIP 65803-114
Phone: (417) 501-8922

The provider's authorized official is Haley Wooster .
The authorized official title is Enrollment Specialist and has the following contact phone number (712) 733-8551.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 11/17/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist11904MISSOURINo
21223G0001XDentistGeneral PracticeYes

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: 4/28/2024

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