Kennedy Dental LLC

NPI #1003065251 in Portland, Oregon

Provider Information

NPI Number: 1003065251
Entity Type: Organization
Organization Name: Kennedy Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 11, 2008
Last Updated: Oct 30, 2024

Practice Location

Address: 3506 N LOMBARD ST
City: Portland
State: Oregon
ZIP Code: 97217-5902
Phone: (503) 289-0230

Authorized Official

Name: GERALD KENNEDY
Title: OWNER/DENTIST
Phone: (503) 289-0230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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