Individual provider · Type 1 NPI

Athena Kenny, DMD

Pediatric Dentistry · Philadelphia, PA

NPI number 1912525601 Active

Practice location

2301 E Allegheny Ave Fl 2
Philadelphia, PA 19134-4427

Mailing address

1815 Jfk Blvd Apt 1112
Philadelphia, PA 19103-1710

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDS042762 (PA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1912525601

Athena Kenny, DMD's National Provider Identifier is 1912525601, issued on Jul 8, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2020.