DR. BRUCE ALLEN KENNEDY (NPI# 1912922022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912922022 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ALLEN KENNEDY |
| Credential | D.D.S. |
| Practice Address |
3601 S 6th Ave Tucson AZ 85723-0001 |
| Practice Telephone | 5206291842 |
| Practice Fax Number | 5206291745 |
| Mailing Telephone | 5206291842 |
| Mailing Fax Number | 5206291745 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
1158 | NM | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386627461 | Bruce David Kennedy | Anesthesiology | 45 N.e. Loop 410 #900, San Antonio, TX 78216 | 2005-11-22 |
| 1225681794 | Bruce Eric Kennedy | Technician/Technologist | 351 Alabama Rd, Adel, GA 31620-3818 | 2019-07-23 |
| 1659758159 | Bruce Kennedy | Pediatrics | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2015-05-04 |
| 1770635658 | Bruce Edward Kennedy | Dentist | 435 Pine St, Rochester, MI 48307-1933 | 2007-01-18 |
| 1871517078 | Bruce Orval Kennedy | Dentist | 1117 Main Ave, Crete, NE 68333-2259 | 2006-07-27 |
| 1093742157 | Bruce E Kennedy | Nurse Anesthetist, Certified Registered | 415 W Gray St, Norman, OK 73069-7117 | 2006-06-26 |
| Street Address |
3601 S 6TH AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85723-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538160841 | Alan P. Baehr | Psychologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2005-08-09 |
| 1467053777 | Manami Christie Okoshi | Specialist/Technologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-11-03 |
| 1578164158 | Julie Ann Sickles | Nurse Practitioner | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-11-02 |
| 1104426626 | Hellen Nguyet Ly | Pharmacist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-10-26 |
| 1295334969 | Amanda Ruth Carlson | Social Worker | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-10-22 |
| 1952900391 | Daniel J Massey | Pharmacist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-10-17 |
| 1497360804 | Kassandra Notbohm | Pharmacist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-09-11 |
| 1487268934 | Stacey Lynn Scofero | Licensed Practical Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-09-02 |
| 1912510330 | Krystal Chandler | Pharmacist | 3601 S 6th Ave, Tucson, AZ 85723-0002 | 2020-08-25 |
| 1548872641 | Karen Hatch Drenner | Registered Nurse | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265912380 | Daniel Martyn Altig | Social Worker | Savahcs, 3601 South 6th Ave, Tucson, AZ 85723 | 2018-08-17 |
| 1760924757 | Jose Santos Urias | Respiratory Therapist, Registered | 3601s 6th Ave, Tucson, AZ 85723 | 2016-11-08 |
| 1144461898 | Roy Alan Kolden | Respiratory Therapist, Certified | 3601 South 6th Avenue, Tucson, AZ 85723 | 2009-03-10 |
| 1861689804 | Rene Adan Nunez | Radiologic Technologist | 3601 South 6th Avenue (9-05), Tucson, AZ 85723 | 2007-10-03 |
| 1609956176 | Kenneth Ely Monroe | Internal Medicine | 3601 So 6th Ave, Southern Arizona Va Health Care Service, Tucson, AZ 85723 | 2006-10-17 |
| 1639269566 | James Edward Hadley | Kinesiotherapist | 3601 S 6 Th Ave, Tucson, AZ 85723 | 2006-10-13 |
| 1437240470 | Anita Judith Goss | Nurse Practitioner | 3601 S 6th St, 4116a, Tucson, AZ 85723 | 2006-09-27 |
| 1053410795 | Edwin Harold Kroon | Psychiatry & Neurology | 3601 South 6th Ave, Southern Arizona Va Health Care System, Tucson, AZ 85723 | 2006-09-21 |
| 1568572469 | Joseph Edward Upson | Internal Medicine | 3601 S. 6th Avenue, Tucson, AZ 85723 | 2006-08-30 |
| 1528175072 | Jayendra H Shah | Internal Medicine | 3601 S. 6ht Avenue, Tucson, AR 85723 | 2006-08-23 |
| Find all providers in zip 85723 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144453044 | Jeffrey D Lewis | Dentist | 5099 E Grant Rd Ste 330, Tucson, AZ 85712-2764 | 2009-08-26 |
| 1437239159 | Carl Leslie Brownd | Dentist | 5099 E Grant Rd, #330, Tucson, AZ 85712-2732 | 2006-10-17 |
| 1760584106 | Howard M Steinberg | Dentist | 2385 N Ferguson Ave, Ste 111, Tucson, AZ 85712 | 2006-09-05 |
| 1497753719 | Larry Hugh West | Dentist | 1104 N El Dorado Place, Tucson, AZ 85715 | 2005-07-11 |
| 1548660384 | First Dental Center | Dentist | 302 W Ajo Way, Tucson, AZ 85713-6039 | 2014-08-29 |
| 1457555732 | Alen Madadi | Dentist | 4955 N Sabino Canyon Rd Ste 103, Tucson, AZ 85750-6491 | 2007-06-12 |
| 1336293570 | E. Karina Keys | Dentist | 15601 N Oracle Rd, Tucson, AZ 85739-9171 | 2007-01-23 |
| 1447349485 | Luis G. Keys | Dentist | 15601 N Oracle Rd, Tucson, AZ 85739-9171 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922563691 | Surprise Implants & Prosthodontics Pllc | Dentist | 14967 W Bell Rd Ste 100, Surprise, AZ 85374-3201 | 2019-02-06 |
| 1720503758 | Russell John Crockett | Dentist | 5533 E Bell Rd Ste 120, Scottsdale, AZ 85254-1256 | 2017-08-10 |
| 1548792666 | Arrowhead Prosthodontics Pllc | Dentist | 18555 N 79th Ave Ste A101, Glendale, AZ 85308-8371 | 2017-03-29 |
| 1215360979 | Tamer El-gendy | Dentist | 3435 E Comstock Dr, Gilbert, AZ 85296-1892 | 2013-08-16 |
| 1982979456 | Joann Crystal Baxter | Dentist | 16127 E Powderhorn Dr, Fountain Hills, AZ 85268-6505 | 2012-03-17 |
| 1497045694 | Nathanial Edward Farley | Dentist | 107 N Greenfield Rd Ste 1, Mesa, AZ 85205-7802 | 2011-04-10 |
| 1205074879 | Edward Kent Fritch | Dentist | 18650 N Thompson Peak Pkwy, Suite 2010, Scottsdale, AZ 85255-6190 | 2009-02-04 |
| 1740433713 | Mark Stephen Montana | Dentist | 2147 E Southern Ave, Tempe, AZ 85282-7503 | 2008-11-03 |
| 1801049010 | Fitzgerald Professional Corporation | Dentist | 7054 East Cochise Rd, B-230, Scottsdale, AZ 85253-4550 | 2008-10-31 |
| 1477709004 | Kevin Brian Cebrynski | Dentist | 9097 E Desert Cove Dr Ste 240, Scottsdale, AZ 85260-6277 | 2008-08-14 |
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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.