Gerald L Kennedy in Portland - General Practice
Gerald L Kennedy - NPI 1295725406
Gerald L Kennedy is a General Practice in Portland, Oregon. Gerald L Kennedy practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gerald L Kennedy is 1295725406. The last update date is 2007-07-08.
Gerald L Kennedy's current location address is 3506 N Lombard St, Portland, Oregon. You can contact this provider via phone number 5032890230 and fax number 5032865055. The mailing address for Gerald L Kennedy is 3506 N Lombard St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald L Kennedy |
|---|---|
| Address | 3506 N Lombard St, Portland, Oregon |
| Phone Number | 5032890230 |
| Fax Number | 5032865055 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1295725406 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3506 N Lombard St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972175902 |
| Phone Number | 5032890230 |
| Fax Number | 5032865055 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6716 |
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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. |
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What is the unique 10-digit identification code assigned to Gerald L Kennedy by the Centers for Medicare & Medicaid Services?
The Gerald L Kennedy has been issued the NPI (National Provider Identifier) 1295725406, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gerald L Kennedy?
The Gerald L Kennedy is physically situated at 3506 N Lombard St, in the city of Portland, state of OR, with the postal code 972175902.
What is Gerald L Kennedy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gerald L Kennedy's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When did Gerald L Kennedy receive its 1295725406 assignment?
The Gerald L Kennedy was assigned its 1295725406 on 2005-10-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Gerald L Kennedy's details last updated?
The information pertaining to the Gerald L Kennedy, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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