Organization · Type 2 NPI
Kennedy Oral & Facial Surgery PLLC
Oral and Maxillofacial Surgery (Dentist) · Rocky Top, TN
NPI number
1407754369
Active
Practice location
110 Industrial Park Ln
Rocky Top, TN 37769-2300
Fax (865) 498-9808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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.
4 other providers at this address
About NPI 1407754369
Kennedy Oral & Facial Surgery PLLC's National Provider Identifier is 1407754369, issued on Oct 29, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rocky Top, TN. The record was last updated on Oct 29, 2026.