Bruce Edward Kennedy in Rochester - General Practice

Bruce Edward Kennedy - NPI 1770635658

Bruce Edward Kennedy is a General Practice in Rochester, Michigan. Bruce Edward Kennedy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce Edward Kennedy is 1770635658. The last update date is 2007-07-08.

Bruce Edward Kennedy's current location address is 435 Pine St, Rochester, Michigan. You can contact this provider via phone number 2486529116 and fax number 2486523136. The mailing address for Bruce Edward Kennedy is 435 Pine St, Rochester, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Edward Kennedy
Address 435 Pine St, Rochester, Michigan
Phone Number 2486529116
Fax Number 2486523136
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1770635658
Provider Enumeration Date 2007-01-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 435 Pine St
City Rochester
State Michigan (MI)
Post Code 483071933
Phone Number 2486529116
Fax Number 2486523136

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 13236
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13236 MI DENTAL

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FAQs about Bruce Edward Kennedy

What is the unique 10-digit identifier code assigned to Bruce Edward Kennedy by the Centers for Medicare & Medicaid Services?

The Bruce Edward Kennedy has been issued the NPI (National Provider Identifier) 1770635658 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Bruce Edward Kennedy is geographically located?

The Bruce Edward Kennedy is physically situated at the following location: 435 Pine St, Rochester, MI, 483071933.

What is Bruce Edward Kennedy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bruce Edward Kennedy's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770635658 to Bruce Edward Kennedy?

The Centers for Medicare & Medicaid Services assigned the 1770635658 to Bruce Edward Kennedy on 2007-01-18.

When was the information regarding Bruce Edward Kennedy most recently updated?

The details pertaining to the Bruce Edward Kennedy, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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