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JENNIFER A KENNEDY DDS LLC
NPI 1992136345
Clinic/Center - Dental in Mattoon, IL

Active since December 11, 2013
601 BROADWAY AVE, MATTOON, IL 61938(217) 235-0556(217) 234-7243 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer A Kennedy Dds Llc NPPES

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

JENNIFER A KENNEDY DDS LLC (NPI 1992136345) is a healthcare organization registered as a dental in Mattoon, Illinois and active in the NPI registry since December 2013. The organization lists Jennifer A Kennedy, Dentist, as its authorized official.

NPPES Registry Identity

NPI1992136345
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJENNIFER A KENNEDY DDS LLC
Location Address601 BROADWAY AVEMattoon, IL 61938-4340
Mailing Address601 Broadway AveMattoon, IL 61938-4340 · (217) 235-0556 · Fax (217) 234-7243
Phone(217) 235-0556
Fax(217) 234-7243
Organization SubpartNo
Authorized OfficialJennifer A KennedyDentist · (217) 235-0556
Enumeration DateDecember 11, 2013
✔ NPI 1992136345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IL · 019024517
601 BROADWAY AVE, Mattoon, IL 61938
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Other Providers at the Same Location NPPES 5

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

DR. JENNIFER A KENNEDY DDS
Dentist
601 BROADWAY AVE
MATTOON, IL 61938
Coles County (217) 235-0556
DR. PHILIP B. KEPP DDS
Dentist (General Practice)
601 BROADWAY AVE
MATTOON, IL 61938
Coles County (217) 235-0556
PHILIP B. KEPP, DDS,PC
Dentist (General Practice)
601 BROADWAY AVE
MATTOON, IL 61938
Coles County (217) 235-0556
SUZANNE D HASLETT DDS
Dentist
601 BROADWAY AVE
MATTOON, IL 61938
Coles County (217) 235-0556
CODY ALLEN GASS D.M.D.
Dentist
601 BROADWAY AVE
MATTOON, IL 61938
Coles County (217) 235-0556

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 Jennifer A Kennedy Dds LLC's NPI number?

The NPI number for Jennifer A Kennedy Dds LLC is 1992136345. It was assigned to this organization in the NPPES registry on December 11, 2013.

Where is Jennifer A Kennedy Dds LLC located?

Jennifer A Kennedy Dds LLC is located at 601 Broadway Ave, Mattoon, IL 61938. The listed phone number is (217) 235-0556.

What is Jennifer A Kennedy Dds LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jennifer A Kennedy Dds LLC was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.