Individual provider · Type 1 NPI
Matthew C. Kennedy, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Alexandria, LA
NPI number
1396000774
Active
Practice location
1403 Peterman Dr
Alexandria, LA 71301-3433
Fax (318) 443-0046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7723 (LA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Alexandria
About NPI 1396000774
Matthew C. Kennedy, DDS, MD's National Provider Identifier is 1396000774, issued on Jul 11, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Alexandria, LA. The record was last updated on May 14, 2026.