Individual provider · Type 1 NPI
Robert Ford Kennedy
Periodontics · Antioch, CA
NPI number
1720197536
Active
Practice location
3505 Lone Tree Way, 7
Antioch, CA 94509-6067
Fax (925) 756-7890
Mailing address
3524 Springhill Rd
Lafayette, CA 94549-2536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 16790 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4 other providers at this address
Other periodontics providers in Antioch
About NPI 1720197536
Robert Ford Kennedy's National Provider Identifier is 1720197536, issued on Aug 29, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Antioch, CA. The record was last updated on Jul 8, 2007.