DR. KENNEDY MOORE DMD NPI 1821838004

NPI Information

  • NPI: 1821838004
  • Provider Name: DR. KENNEDY MOORE, DMD
  • Classification: Dentist - 122300000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 100 HIGH ST STE 200
    WESTWOOD, MA
    ZIP 02090
  • Phone: (781) 733-9378

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NPI Details

DR. Kennedy Moore, DMD is a dentist in Westwood, MA with 2 years of experience. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. DR. Kennedy Moore, DMD NPI is 1821838004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduation Year:2024

The provider's business location address is:

100 HIGH ST STE 200
WESTWOOD, MA
ZIP 02090-196
Phone: (781) 733-9378

The NPI 1821838004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/28/2024 and was last updated on 6/20/2025.

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
1122300000XDentistDN10000242MASSACHUSETTSYes

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: 11/21/2025

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