Individual provider · Type 1 NPI

Kennedy Powell

General Practice Dentistry · Conyers, GA

NPI number 1962385237 Active

Practice location

2239 Highway 20 SE Ste H
Conyers, GA 30013-2087

Mailing address

3509 Clear View Trl
Stockbridge, GA 30281-5670

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN123884 (GA)

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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About NPI 1962385237

Kennedy Powell's National Provider Identifier is 1962385237, issued on Jul 25, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Conyers, GA. The record was last updated on Jul 25, 2025.