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DR. JENNIFER A KENNEDY DDS
NPI 1013936962
Dentist in Mattoon, IL

Active since July 19, 2006
601 BROADWAY AVE, MATTOON, IL 61938(217) 235-0556 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jennifer A Kennedy Dds NPPES

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

DR. JENNIFER A KENNEDY DDS (NPI 1013936962) is an individual dentist in Mattoon, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1013936962
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JENNIFER A KENNEDYCredential: DDS
Location Address601 BROADWAY AVEMattoon, IL 61938-4340
Mailing Address2544 North County Road 1800 EastCharleston, IL 61920 · (217) 345-3937
Phone(217) 235-0556
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013936962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
601 BROADWAY AVE, Mattoon, IL 61938
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Other Providers at the Same Location NPPES 5

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

DR. PHILIP B. KEPP DDS
Dentist (General Practice)
601 BROADWAY AVE
MATTOON, IL 61938
Coles County (217) 235-0556
PHILIP B. KEPP, DDS,PC
Dentist (General Practice)
601 BROADWAY AVE
MATTOON, IL 61938
Coles County (217) 235-0556
SUZANNE D HASLETT DDS
Dentist
601 BROADWAY AVE
MATTOON, IL 61938
Coles County (217) 235-0556
CODY ALLEN GASS D.M.D.
Dentist
601 BROADWAY AVE
MATTOON, IL 61938
Coles County (217) 235-0556
JENNIFER A KENNEDY DDS LLC
Clinic/Center (Dental)
601 BROADWAY AVE
MATTOON, IL 61938
Coles County (217) 235-0556

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 Jennifer Kennedy's NPI number?

The NPI number for Jennifer Kennedy is 1013936962. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Jennifer Kennedy located?

Jennifer Kennedy practices at 601 Broadway Ave, Mattoon, IL 61938. The listed phone number is (217) 235-0556.

What is Jennifer Kennedy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jennifer Kennedy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.