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Dr. Bobby Carl Kennedy, DDS
General Practice Dentistry in Sacramento, California
NPI 1699804492

Bobby Carl Kennedy is a General Practice Dentistry based in Sacramento, CA and is specialized in General Practice. Bobby Carl Kennedy practices in Sacramento, CA and has the professional credentials of DDS. The NPI Number for Bobby Carl Kennedy is 1699804492 and holds a License No. 35625 (California).

The current practice location address for Bobby Carl Kennedy is 1611 Executive Ct Ste 200, Sacramento, CA and can be reached out via phone at 916-487-5160 and via fax at 916-487-8332.

Location: 1611 Executive Ct Ste 200, Sacramento, CA, 95864-2648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699804492
Provider Name
Bobby Carl Kennedy
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1611 Executive Ct Ste 200, Sacramento, CA, 95864-2648
Phone Number
916-487-5160
Fax Number
916-487-8332
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B3562501 05 CA
institution
Provider Business Practice Location Address Details
Address
1611 Executive Ct Ste 200
City
Sacramento
State
California
Zip
95864-2648
Phone Number
916-487-5160
Fax Number
916-487-8332
person
Provider Business Mailing Address Details
Address
1611 Executive Ct Ste 200
City
Sacramento
State
California
Zip
95864-2648
Phone Number
916-487-5160
Fax Number
916-487-8332
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
35625 (California)
Definition
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.
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