THE KENEDY DENTIST, PLLC
NPI 1417764937
Clinic/Center - Dental in Kenedy, TX
About The Kenedy Dentist, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE KENEDY DENTIST, PLLC (NPI 1417764937) is a healthcare organization registered as a dental in Kenedy, Texas and active in the NPI registry since December 2024. The organization lists Maxim Mossman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENEDY, TX 78119
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 The Kenedy Dentist, PLLC's NPI number?
The NPI number for The Kenedy Dentist, PLLC is 1417764937. It was assigned to this organization in the NPPES registry on December 17, 2024.
Where is The Kenedy Dentist, PLLC located?
The Kenedy Dentist, PLLC is located at 131 Business Park Blvd Ste 600, Kenedy, TX 78119. The listed phone number is (972) 838-3772.
What is The Kenedy Dentist, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
What insurance does The Kenedy Dentist, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list The Kenedy Dentist, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for The Kenedy Dentist, PLLC was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# The Kenedy Dentist, Pllc · NPI 1417764937
Dental organization in Kenedy, Texas. Organization record, active in the CMS NPPES registry since December 17, 2024.
## Identity
- **NPI:** 1417764937 (Entity type: Organization)
- **Enumerated:** December 17, 2024
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Maxim Mossman, OWNER
## Practice location
- **Address:** 131 BUSINESS PARK BLVD STE 600, Kenedy, TX 78119-3512
- **Phone:** (972) 838-3772
## Record status
- **NPPES last updated:** December 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417764937) · Data from the CMS NPPES public registry.