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Gregory L. Kennedy D.m.d Pc
Dental Clinic/Center in Grand Bay, Alabama
NPI 1760116818

Gregory L. Kennedy D.m.d Pc is a Dental Clinic/Center based in Grand Bay, AL and is specialized in Dental. Gregory L. Kennedy D.m.d Pc practices in Grand Bay, AL. The NPI Number for Gregory L. Kennedy D.m.d Pc is 1760116818 and holds a License No. (Alabama).

The current practice location address for Gregory L. Kennedy D.m.d Pc is 12475 Us Highway 90, Grand Bay, AL and can be reached out via phone at 251-865-3500 and via fax at 251-865-1101.

Location: 12475 Us Highway 90, Grand Bay, AL, 36541-0628
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760116818
Provider Name
Gregory L. Kennedy D.m.d Pc
Credential
Provider Entity Type
Organization
Address
12475 Us Highway 90, Grand Bay, AL, 36541-0628
Phone Number
251-865-3500
Fax Number
251-865-1101
Provider Enumeration Date
07/14/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3862 01 AL DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
12475 Us Highway 90
City
Grand Bay
State
Alabama
Zip
36541-5796
Phone Number
251-865-3500
Fax Number
251-865-1101
person
Provider Business Mailing Address Details
Address
12475 Us Highway 90
City
Grand Bay
State
Alabama
Zip
36541-5796
Phone Number
251-865-3500
Fax Number
251-865-1101
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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