Michael R. Kennedy, D.D.S.

General Practice Dentistry · Brunswick, GA

Individual Active NPI

NPI number 1457433815

Practice location

114 Altama Connector
Brunswick, GA 31525-1891
Phone
(912) 262-6688
Fax
(912) 264-2409

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NPI record

NPI
1457433815
Entity type
Individual (Type 1)
Enumeration date
October 19, 2006
Last updated
October 16, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN007195 GA

About Dr. Kennedy

Michael R. Kennedy, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 114 Altama Connector, Brunswick, GA 31525-1891. The NPI number 1457433815 was assigned on October 19, 2006 and the record was last updated on October 16, 2012.

Dr. Kennedy lists a license in the registry: #DN007195 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael R. Kennedy, D.D.S.?

The NPI number is 1457433815.

What is the phone number of Dr. Kennedy?

The phone number listed for the practice location is (912) 262-6688.

Where is Dr. Kennedy located?

114 Altama Connector, Brunswick, GA 31525-1891.

What is the taxonomy code for Dr. Kennedy?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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