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Dr. Kevin Chambliss Kennedy JR., DDS
Pediatric Dentist in Clarksville, Tennessee
NPI 1629399647

Kevin Chambliss Kennedy JR. is a Pediatric Dentist based in Clarksville, TN and is specialized in Pediatric Dentistry. Kevin Chambliss Kennedy JR. practices in Clarksville, TN and has the professional credentials of DDS. The NPI Number for Kevin Chambliss Kennedy JR. is 1629399647 and holds a License No. 9411 (Tennessee).

The current practice location address for Kevin Chambliss Kennedy JR. is 590 Fire Station Rd Ste C, Clarksville, TN and can be reached out via phone at 931-648-9930. You can also correspond with Kevin Chambliss Kennedy JR. through the mailing address at 2858 SUMMER LAWN DR, CLARKSVILLE, TN - 37043-4030 (mailing address contact number: 931-648-9930).

Location: 590 Fire Station Rd Ste C, Clarksville, TN, 37043-4030
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Provider Profile Details
NPI Number
1629399647
Provider Name
Kevin Chambliss Kennedy JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
590 Fire Station Rd Ste C, Clarksville, TN, 37043-4030
Phone Number
931-648-9930
Fax Number
Provider Enumeration Date
06/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1527793 05 TN
institution
Provider Business Practice Location Address Details
Address
590 Fire Station Rd Ste C
City
State
Zip
37043-4016
Phone Number
931-648-9930
Fax Number
person
Provider Business Mailing Address Details
Address
590 Fire Station Rd Ste C
City
State
Zip
37043-4016
Phone Number
931-648-9930
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
9411 (Tennessee)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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