Active NPIIndividual provider

Miss Iman T Kennedy, DDS

Dentist in Attleboro, Massachusetts

NPI Number1154783272
Practice location
720 Washington St, Attleboro, MA 02703-6948
Fax
—
Last updated
March 26, 2019

Iman Tyerra Kennedy is a Dentist based in Attleboro, MA. Iman Tyerra Kennedy practices in Attleboro, MA and has the professional credentials of DDS. The NPI Number for Iman Tyerra Kennedy is 1154783272 and holds a License No. 57000026 (NC). The current practice location address for Iman Tyerra Kennedy is 720 Washington St, Attleboro, MA 02703-6948 and can be reached out via phone at 704-355-2165.

Provider Profile Details

NPI Number
1154783272
Provider Name
Iman Tyerra Kennedy
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
720 Washington St, Attleboro, MA 02703-6948
Phone Number
704-355-2165
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2016
Last Update Date
March 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
720 Washington St
Attleboro, MA 02703-6948
Zip
02703-6948
Phone Number
704-355-2165
Attleboro, MA 02703Get directions →

Provider Business Mailing Address Details

Address
3 Dolores Ave Apt 1
Waltham, MA 02452-4918
City
Waltham
State
MA
Zip
02452-4918
Phone Number
704-614-9641

License Information

License Number (1)
57000026
License State (1)
NC
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DN1858174
License State (2)
MA
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miss Iman T Kennedy, DDS?

The NPI number of Miss Iman T Kennedy, DDS is 1154783272. It was assigned on March 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Miss Iman T Kennedy, DDS?

Miss Iman T Kennedy, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NC under license number 57000026.

Where does Miss Iman T Kennedy, DDS practice?

The practice location is 720 Washington St, Attleboro, MA 02703-6948. The office can be reached at 704-355-2165 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154783272 directly on the NPPES registry website.

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