KENNEDY DENTAL OFFICE (NPI# 1033270970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033270970 |
| Entity Type | Organization |
| Organization Name | KENNEDY DENTAL OFFICE |
| Practice Address |
38924 Coal River Rd. Whitesville WV 25209 |
| Mailing Address |
Po Box 776 Whitesville WV 25209-0776 |
| Practice Telephone | 3048542110 |
| Practice Fax Number | 3048542111 |
| Mailing Telephone | 3048542110 |
| Mailing Fax Number | 3048542111 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KIMBERLY A. DILLON (ACCOUNT MANAGER) |
| Authorized Official Telephone | 3047449717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447311451 | Kennedy Dental Office | Dentist | 410 4th Ave, Montgomery, WV 25136-2105 | 2006-12-13 |
| Street Address |
38924 COAL RIVER RD. |
| City | WHITESVILLE |
| State | WV |
| Zip Code | 25209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386159 | William Albert Perdue | Technician | 123 Arvon Ave, Whitesville, WV 25209 | 2020-11-03 |
| 1790398949 | Katherine Eva Conklin | Technician | 36593 Coal River Rd, Whitesville, WV 25209 | 2020-08-27 |
| 1063043891 | Whitesville Family Pharmacy, Inc | Pharmacy | 38800 Coal River Rd, Whitesville, WV 25209 | 2020-01-30 |
| 1649646191 | Ronald Andrew Dickens, D.d.s., Inc | Dentist | 38924 Coal River Rd, Whitesville, WV 25209 | 2015-08-19 |
| 1922426105 | Johnathan Murphy | Pharmacist | 69 Lewis Street, Whitesville, WV 25209 | 2014-04-03 |
| 1114361805 | Mountaineer Drug Inc. | Pharmacy | 76 Lewis Street, Whitesville, WV 25209 | 2013-04-24 |
| 1508158890 | Venkata Amaravadi | Pharmacist | 69 Lewis St, Whitesville, WV 25209 | 2011-05-05 |
| 1225183718 | Whitesville Ambulance Service, Inc. | Ambulance | 700 Raleigh Street, Whitesville, WV 25209 | 2007-01-24 |
| 1215540471 | Amy Michelle Pope | Technician | 36593 Coal River Rd, Whitesville, WV 25209 | 2020-08-27 |
| 1528578838 | Christy Ann Holstein | Nurse Practitioner | 37456 Coal River Rd, Whitesville, WV 25209 | 2017-10-02 |
| Find all providers in zip 25209 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774401 | Triadelphia of West Virginia Dental Pllc | Dentist | 219 Cabela Dr, Triadelphia, WV 26059-1022 | 2020-09-09 |
| 1396361598 | Safa Alathari | Dentist | 1554 Mileground Rd Ste A, Morgantown, WV 26505-3749 | 2020-06-23 |
| 1063038677 | Angela Nicole Stowers | Dentist | 2601 1st Ave, Nitro, WV 25143-1713 | 2020-06-19 |
| 1700400231 | Tyler Reed Myers | Dentist | 45 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2020-06-01 |
| 1245871326 | Mason Bishop | Dentist | 402 Red Oak St, Summersville, WV 26651-1000 | 2019-09-30 |
| 1710547039 | Christopher Stephen Mallow | Dentist | 9030 Petersburg Pike, Upper Tract, WV 26866-8014 | 2019-06-18 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1235797804 | Brennan Matthew Wood | Dentist | 142 Holiday Ln, Lewisburg, WV 24901-9315 | 2019-05-30 |
| 1568923837 | Yulia Meadows | Dentist | 8 Middletown Rd, Fairmont, WV 26554-8102 | 2019-03-28 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| Find all providers with the same taxonomy | ||||
| City | WHITESVILLE |
| Zip Code | 25209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.