Individual provider · Type 1 NPI
Johnny Dale Kennedy, DDS
General Practice Dentistry · Athens, TN
NPI number
1679685853
Active
Practice location
1911 Congress Pkwy
Athens, TN 37303
Fax (423) 745-2632
Mailing address
1911 Congress Pkwy, PO Box 1029
Athens, TN 37371-1029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DS3459 (TN) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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- James Lamar Dugan Ii, D.D.SGeneral Practice Dentistry Athens, TN NPI 1770573768
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About NPI 1679685853
Johnny Dale Kennedy, DDS's National Provider Identifier is 1679685853, issued on Aug 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Athens, TN. The record was last updated on Jul 8, 2007.