Active NPIIndividual provider

Dr. Kennedy Moore, DMD

Dentist in Westwood, Massachusetts

NPI Number1821838004
Practice location
100 High St Ste 200, Westwood, MA 02090-1196
Fax
—
Last updated
June 20, 2025

Kennedy Moore is a Dentist based in Westwood, MA. Kennedy Moore practices in Westwood, MA and has the professional credentials of DMD. The NPI Number for Kennedy Moore is 1821838004 and holds a License No. DN10000242 (MA). The current practice location address for Kennedy Moore is 100 High St Ste 200, Westwood, MA 02090-1196 and can be reached out via phone at 781-733-9378.

Provider Profile Details

NPI Number
1821838004
Provider Name
Kennedy Moore
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
100 High St Ste 200, Westwood, MA 02090-1196
Phone Number
781-733-9378
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
May 28, 2024
Last Update Date
June 20, 2025
Certification Date
June 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 High St Ste 200
Westwood, MA 02090-1196
Zip
02090-1196
Phone Number
781-733-9378
Westwood, MA 02090Get directions →

Provider Business Mailing Address Details

Address
89 Wachusett St Apt 3
Jamaica Plain, MA 02130-4462
City
Jamaica Plain
State
MA
Zip
02130-4462
Phone Number
585-412-3025

License Information

License Number
DN10000242
License State
MA
Taxonomy
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 Dr. Kennedy Moore, DMD?

The NPI number of Dr. Kennedy Moore, DMD is 1821838004. It was assigned on May 28, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Kennedy Moore, DMD?

Dr. Kennedy Moore, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN10000242.

Where does Dr. Kennedy Moore, DMD practice?

The practice location is 100 High St Ste 200, Westwood, MA 02090-1196. The office can be reached at 781-733-9378 (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 1821838004 directly on the NPPES registry website.

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