Individual provider · Type 1 NPI
Jason Robert Kennedy, DMD
Oral and Maxillofacial Surgery (Dentist) · Rocky Top, TN
NPI number
1518151935
Active
Practice location
110 Industrial Park Rd
Rocky Top, TN 37769
Fax (865) 498-9808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | N/A (RESIDENT) (TN) |
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.
Another provider at this address
About NPI 1518151935
Jason Robert Kennedy, DMD's National Provider Identifier is 1518151935, issued on Aug 29, 2007. 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 5, 2026.