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KENNEDY DENTAL OFFICE
NPI 1447311451
Dentist - General Practice in Montgomery, WV

Active since December 13, 2006
410 4TH AVE, MONTGOMERY, WV 25136(304) 442-2488(304) 442-8835 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Dental Office NPPES

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

KENNEDY DENTAL OFFICE (NPI 1447311451) is a healthcare organization registered as a general practice in Montgomery, West Virginia and active in the NPI registry since December 2006. The organization lists Kimberly A. Dillon, Account Manager, as its authorized official.

NPPES Registry Identity

NPI1447311451
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNEDY DENTAL OFFICE
Location Address410 4TH AVEMontgomery, WV 25136-2105
Mailing Address410 4th AveMontgomery, WV 25136-2105 · (304) 442-2488 · Fax (304) 442-8835
Phone(304) 442-2488
Fax(304) 442-8835
Organization SubpartNo
Authorized OfficialKimberly A. DillonAccount Manager · (304) 744-9717
Enumeration DateDecember 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1447311451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
410 4TH AVE, Montgomery, WV 25136
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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.

SAMANTHA JANE SMALLMAN RDH
Dental Hygienist
410 4TH AVE
MONTGOMERY, WV 25136
Fayette County (304) 442-2488
DR. CARL L KENNEDY DDS
Dentist (General Practice)
410 4TH AVE
MONTGOMERY, WV 25136
Fayette County (304) 442-2488

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 Office's NPI number?

The NPI number for Kennedy Dental Office is 1447311451. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Kennedy Dental Office located?

Kennedy Dental Office is located at 410 4th Ave, Montgomery, WV 25136. The listed phone number is (304) 442-2488.

What is Kennedy Dental Office's specialty?

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

What insurance does Kennedy Dental Office accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Kennedy Dental Office 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 Kennedy Dental Office was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.