KENNEDY DENTISTRY (NPI# 1447649520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447649520 |
| Entity Type | Organization |
| Organization Name | KENNEDY DENTISTRY |
| Other Organization Name | MAIN STREET DENTAL |
| Practice Address |
4252 N Verrado Way Ste 105 Buckeye AZ 85396-7596 |
| Practice Telephone | 6235948100 |
| Practice Fax Number | 6235948120 |
| Mailing Telephone | 6235948100 |
| Mailing Fax Number | 6235948120 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-13 |
| Authorized Official Name | EWA PLATACZ (OFFICE MANAGER) |
| Authorized Official Telephone | 6235948100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5910 | AZ | Dental Providers |
| Other Name | Type Code |
|---|---|
| MAIN STREET DENTAL | Doing Business As Name - Organization |
| Street Address |
4252 N VERRADO WAY STE 105 |
| City | BUCKEYE |
| State | AZ |
| Zip Code | 85396-7596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423902 | Randy Bland | Respite Care | 20731 W Stone Hill Road, Buckeye, AZ 85396 | 2019-12-06 |
| 1659875698 | Arizona Dental Professionals, P.C. | Dentist | 4120 N 197th Ave, Buckeye, AZ 85396 | 2018-03-23 |
| 1407365083 | Ashley Nicole Brezovsky | Specialist/Technologist | 21188 W Granada Rd, Buckeye, AZ 85396 | 2017-09-26 |
| 1205219391 | Judy Jennings | Home Health Aide | 20470 W Delaney Dr, Buckeye, AZ 85396 | 2015-07-07 |
| 1407003650 | Brent H Bethers | Dentist | 20738 W Legend Trl, Buckeye, AZ 85396 | 2008-08-19 |
| 1437297256 | Patrick Nemechek | Internal Medicine | 4252 N. Verrado Way, Buckeye, AZ 85396 | 2007-02-02 |
| 1164748612 | Julie Beth Stavinoha | General Practice | 20955 W Hamilton St, Buckeye, AZ 85396-1518 | 2010-04-08 |
| 1629234828 | Debra Muckler | Physical Therapist | 2799 N Heritage St, Buckeye, AZ 85396-1520 | 2008-08-06 |
| 1619386596 | Professional Nutrition Consulting, Pllc | Clinic/Center | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-05 |
| 1811396997 | Elisa Anne Rodriguez | Nutritionist | 2886 N Heritage St, Buckeye, AZ 85396-1522 | 2014-08-14 |
| Find all providers in zip 85396 | ||||
| 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 |
|---|---|---|---|---|
| 1851992879 | Arizona Dental Professionals, P.C. | Dentist | 1177 S Watson Rd Ste 107, Buckeye, AZ 85326-3465 | 2020-11-05 |
| 1659875698 | Arizona Dental Professionals, P.C. | Dentist | 4120 N 197th Ave, Buckeye, AZ 85396 | 2018-03-23 |
| 1295251825 | Kathryn Farruggia | Dentist | 9005 S Dean Rd, Buckeye, AZ 85326-5015 | 2017-08-15 |
| 1285946855 | Brooklyn Rae Hagerman | Dentist | 1300 S Watson Rd Ste A-100, Buckeye, AZ 85326-6303 | 2010-07-11 |
| 1578706974 | Don L Parker | Dentist | 946 S Watson Rd, Suite 101, Buckeye, AZ 85326-3429 | 2009-04-14 |
| 1407003650 | Brent H Bethers | Dentist | 20738 W Legend Trl, Buckeye, AZ 85396 | 2008-08-19 |
| 1487842423 | Sundance Dental Group, LLP | Dentist | 825 S Watson Rd Ste 101, Buckeye, AZ 85326-3435 | 2007-10-03 |
| 1821155896 | Matthew Kennedy | Dentist | 4252 N Verrado Way, Suite 105, Buckeye, AZ 85396-7586 | 2007-01-02 |
| 1871595983 | Umar M Imtiaz | Dentist | 23374 W Yuma Rd Ste 102, Buckeye, AZ 85326-3120 | 2005-06-01 |
| 1023635422 | Raquel Alicia Green | Dentist | 825 S Watson Rd Ste 101, Buckeye, AZ 85326-3435 | 2020-07-01 |
| Find all providers in BUCKEYE | ||||
Please comment or provide details below to improve the information on KENNEDY DENTISTRY.
| 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.