NPI 1003065251
Kennedy Dental LLC
Practice location
- Address
- 3506 N Lombard St, Portland, OR 97217-5902
- Phone
- (503) 289-0230
- Fax
- (503) 286-5055
Authorised official
- Name
- Gerald Kennedy
- Title
- Owner/Dentist
- Phone
- (503) 289-0230
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1003065251
- Entity type
- Organization
- NPI issued
- 11 Sep 2008
- Record last updated
- 30 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.