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TIMOTHY RYAN KENNEDY DMD
NPI 1073246815
Dentist - General Practice in Fort Carson, CO

Active since July 08, 2022
1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913(719) 526-5537 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2023, Jul 8, 2022 (2 updates tracked since 2022).

About Timothy Ryan Kennedy Dmd NPPES

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

TIMOTHY RYAN KENNEDY DMD (NPI 1073246815) is an individual general practice provider in Fort Carson, Colorado, licensed in Kentucky (10759) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1073246815
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTIMOTHY RYAN KENNEDYCredential: DMD
Location Address1667 COCHRANE CIR BLDG 7495Fort Carson, CO 80913-4603
Mailing Address3740 South 14th StJoint Base Lewis-mcchord, WA 98433
Phone(719) 526-5537
Sole ProprietorYes
Enumeration DateJuly 8, 2022
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1073246815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 10759
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.
1667 COCHRANE CIR BLDG 7495, Fort Carson, CO 80913
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Other Identifiers 1

Other10759KY · Dental License

Other Providers at the Same Location NPPES 20

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

CARRI LYNN DECAMP
Dental Hygienist
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913
El Paso County (719) 526-5537
DR. ANDREW SEUN DMD
Dentist (General Practice)
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913
El Paso County (224) 216-3232
KARINA RODRIGUEZ
Dental Assistant
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913
El Paso County (719) 526-5537
CHARLES HARDIN
Dentist
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913
El Paso County (719) 526-5537
DOMINIC JAMES HART
Dental Assistant
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913
El Paso County (719) 526-5537
ASHLEY ISABEL BARAHONA
Dental Assistant
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913
El Paso County (719) 526-5537
MS. STEPHANIE SUZANNE KRAFT DA
Dental Assistant
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913
El Paso County (719) 526-5537
MS. ARIANNA DANIELLE MARTINEZ DENTAL ASSISTANT
Dental Assistant
1667 COCHRANE CIR BLDG 7495
FORT CARSON, CO 80913
El Paso County (719) 526-5537

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 Timothy Kennedy's NPI number?

The NPI number for Timothy Kennedy is 1073246815. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Timothy Kennedy located?

Timothy Kennedy practices at 1667 Cochrane Cir Bldg 7495, Fort Carson, CO 80913. The listed phone number is (719) 526-5537.

What is Timothy Kennedy'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 Timothy Kennedy was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.