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DR. KEVIN CHAMBLISS KENNEDY JR. DDS
NPI 1629399647
Dentist - Pediatric Dentistry in Clarksville, TN

Active since June 14, 2010
590 FIRE STATION RD STE C, CLARKSVILLE, TN 37043(931) 648-9930 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin Chambliss Kennedy Jr. Dds NPPES

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

DR. KEVIN CHAMBLISS KENNEDY JR. DDS (NPI 1629399647) is an individual pediatric dentistry provider in Clarksville, Tennessee, licensed in Tennessee (9411) and active in the NPI registry since June 2010. He maintains a secondary practice location in Collierville.

NPPES Registry Identity

NPI1629399647
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KEVIN CHAMBLISS KENNEDY JR.Credential: DDS
Location Address590 FIRE STATION RD STE CClarksville, TN 37043-4016
Mailing Address2858 Summer Lawn DrClarksville, TN 37043-4030 · (931) 648-9930
Phone(931) 648-9930
Sole ProprietorNo
Enumeration DateJune 14, 2010
Last NPPES UpdateJanuary 22, 2019
✔ NPI 1629399647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TN · 9411
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
590 FIRE STATION RD STE C, Clarksville, TN 37043
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Secondary Practice Location 1

Location 12028 W Poplar Ave, Ste 110Collierville, TN 38017-0618 · Phone (901) 861-9668

Other Identifiers 1

Medicaid1527793TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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.

SANGO HILLS DENTAL PLLC
Clinic/Center (Dental)
590 FIRE STATION RD STE C
CLARKSVILLE, TN 37043
Montgomery County (931) 820-2693
BURKE ADAM DEVLIN
Dentist
590 FIRE STATION RD STE C
CLARKSVILLE, TN 37043
Montgomery County (270) 798-8751

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 Kevin Kennedy's NPI number?

The NPI number for Kevin Kennedy is 1629399647. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Where is Kevin Kennedy located?

Kevin Kennedy practices at 590 Fire Station Rd Ste C, Clarksville, TN 37043. The listed phone number is (931) 648-9930.

What is Kevin Kennedy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kevin Kennedy accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Kevin Kennedy 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 Kevin Kennedy was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.