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KENNEDY DENTAL LLC
NPI 1003065251
Dentist - General Practice in Portland, OR

Active since September 11, 2008
3506 N LOMBARD ST, PORTLAND, OR 97217(503) 289-0230(503) 286-5055 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kennedy Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEDY DENTAL LLC (NPI 1003065251) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since September 2008. The organization lists Gerald Kennedy, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1003065251
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNEDY DENTAL LLC
Location Address3506 N LOMBARD STPortland, OR 97217-5902
Mailing Address3506 N Lombard StPortland, OR 97217-5902 · (503) 289-0230 · Fax (503) 286-5055
Phone(503) 289-0230
Fax(503) 286-5055
Organization SubpartNo
Authorized OfficialGerald KennedyOwner/dentist · (503) 289-0230
Enumeration DateSeptember 11, 2008
Last NPPES UpdateOctober 30, 2024
NPPES CertifiedOctober 30, 2024
✔ NPI 1003065251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D6716
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.
3506 N LOMBARD ST, Portland, OR 97217
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GERALD L KENNEDY DMD
Dentist (General Practice)
3506 N LOMBARD ST
PORTLAND, OR 97217
Multnomah County (503) 289-0230
DR. JESS W BLANKENSHIP DDS
Dentist (General Practice)
3506 N LOMBARD ST
PORTLAND, OR 97217
Multnomah County (503) 289-0230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Dental LLC's NPI number?

The NPI number for Kennedy Dental LLC is 1003065251. It was assigned to this organization in the NPPES registry on September 11, 2008.

Where is Kennedy Dental LLC located?

Kennedy Dental LLC is located at 3506 N Lombard St, Portland, OR 97217. The listed phone number is (503) 289-0230.

What is Kennedy Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kennedy Dental LLC was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.