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MAIN STREET DENTAL
NPI 1447649520
Dentist - General Practice in Buckeye, AZ

Active since January 13, 2015
4252 N VERRADO WAY STE 105, BUCKEYE, AZ 85396(623) 594-8100(623) 594-8120 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Main Street Dental NPPES

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

MAIN STREET DENTAL (NPI 1447649520) is a healthcare organization registered as a general practice in Buckeye, Arizona and active in the NPI registry since January 2015. The organization lists Ewa Platacz, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447649520
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNEDY DENTISTRY
Location Address4252 N VERRADO WAY STE 105Buckeye, AZ 85396-7596
Mailing Address4252 N Verrado Way Ste 105Buckeye, AZ 85396-7596 · (623) 594-8100 · Fax (623) 594-8120
Phone(623) 594-8100
Fax(623) 594-8120
Organization SubpartNo
Authorized OfficialEwa PlataczOffice Manager · (623) 594-8100
Enumeration DateJanuary 13, 2015
✔ NPI 1447649520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 5910
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.
4252 N VERRADO WAY STE 105, Buckeye, AZ 85396
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Other Names 1

Doing Business AsMain Street Dental

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 Ambetter from Arizona Complete Health.Insurance ›

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 Dentistry's NPI number?

The NPI number for Kennedy Dentistry is 1447649520. It was assigned to this organization in the NPPES registry on January 13, 2015. The provider is doing business as Main Street Dental.

Where is Kennedy Dentistry located?

Kennedy Dentistry is located at 4252 N Verrado Way Ste 105, Buckeye, AZ 85396. The listed phone number is (623) 594-8100.

What is Kennedy Dentistry's specialty?

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

What insurance does Kennedy Dentistry accept?

Health plans from Ambetter from Arizona Complete Health list Kennedy Dentistry 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 Dentistry was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.