Jason Kennon Dmd LLC
NPI #1568764769 in Panama City, Florida
Provider Information
- NPI Number
- 1568764769
- Entity Type
- Organization
- Organization Name
- Jason Kennon Dmd LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 22, 2010
- Last Updated
- Dec 22, 2010
Practice Location
- Address
- 2309 SAINT ANDREWS BLVD
- City
- Panama City
- State
- Florida
- ZIP Code
- 32405-2171
- Phone
- (850) 769-1034
Authorized Official
- Name
- DR. JASON BRANCH KENNON, DMD
- Title
- PRESIDENT
- Phone
- (850) 769-1034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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