Mark H Kennedy is a Dentist in Jackson, Mississippi. Mark H Kennedy practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark H Kennedy is 1629257357. The last update date is 2007-10-30.
Mark H Kennedy's current location address is 5800 Ridgewood Rd, Jackson, Mississippi. You can contact this provider via phone number 6019779330 and fax number 6019779887. The mailing address for Mark H Kennedy is 5800 Ridgewood Rd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark H Kennedy |
|---|---|
| Address | 5800 Ridgewood Rd, Jackson, Mississippi |
| Phone Number | 6019779330 |
| Fax Number | 6019779887 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629257357 |
|---|---|
| Provider Enumeration Date | 2007-10-30 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 5800 Ridgewood Rd |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392112667 |
| Phone Number | 6019779330 |
| Fax Number | 6019779887 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1693-75 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identifier code issued to Mark H Kennedy by the Centers for Medicare & Medicaid Services?
The Mark H Kennedy has been assigned the NPI (National Provider Identifier) 1629257357. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark H Kennedy?
The Mark H Kennedy is physically situated at 5800 Ridgewood Rd, in the city of Jackson, state of MS, with the postal code 392112667.
What is Mark H Kennedy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark H Kennedy's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date was the 1629257357 assigned to Mark H Kennedy?
The Mark H Kennedy was issued its 1629257357 on 2007-10-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark H Kennedy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark H Kennedy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-30.
NPI Number: 1699778829
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