Individual provider · Type 1 NPI

Jennifer A. Kennedy, DDS

Dentist · Mattoon, IL

NPI number 1013936962 Active

Practice location

601 Broadway Ave
Mattoon, IL 61938-4340

Mailing address

2544 North County Road 1800 East
Charleston, IL 61920

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: 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 requiremen…

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About NPI 1013936962

Jennifer A. Kennedy, DDS's National Provider Identifier is 1013936962, issued on Jul 19, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Mattoon, IL. The record was last updated on Jul 8, 2007.