DR. ROSELYN BROOKS KENNEDY DMD NPI 1922214691

NPI Information

  • NPI: 1922214691
  • Provider Name: DR. ROSELYN BROOKS KENNEDY, DMD
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 1400 WALTER REED RD
    STE 200
    FAYETTEVILLE, NC
    ZIP 28304
  • Phone: (910) 864-9884

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NPI Details

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
11223P0221XDentistPediatric Dentistry30019228OHIONo
21223P0221XDentistPediatric Dentistry8365NORTH CAROLINAYes

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
10102838MEDICAIDOHIO

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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