John P Kenney in Park Ridge - Pediatric Dentistry

John P Kenney - NPI 1922041813

John P Kenney is a Pediatric Dentistry in Park Ridge, Illinois. John P Kenney practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for John P Kenney is 1922041813. The last update date is 2007-07-08.

John P Kenney's current location address is 101 S Washington Ave, Park Ridge, Illinois. You can contact this provider via phone number 8476982088 and fax number 8476982091. The mailing address for John P Kenney is 101 S Washington Ave, Park Ridge, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name John P Kenney
Address 101 S Washington Ave, Park Ridge, Illinois
Phone Number 8476982088
Fax Number 8476982091
Sole Proprietor N
Credentials DDS, MS

NPI Number Detail

NPI Number 1922041813
Provider Enumeration Date 2006-06-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 101 S Washington Ave
City Park Ridge
State Illinois (IL)
Post Code 600684200
Phone Number 8476982088
Fax Number 8476982091

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 12057069
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.

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FAQs about John P Kenney

What is the unique 10-digit identification code assigned to John P Kenney by the Centers for Medicare & Medicaid Services?

The John P Kenney has been issued the NPI (National Provider Identifier) 1922041813, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where John P Kenney is located?

The John P Kenney is situated at the following address: 101 S Washington Ave, Park Ridge, IL, 600684200.

What is the John P Kenney's area of specialization and corresponding taxonomy classification?

The John P Kenney's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1922041813 to John P Kenney?

The John P Kenney received its 1922041813 assignment from the Centers for Medicare & Medicaid Services on 2006-06-14.

As of what date were the details pertaining to John P Kenney last refreshed?

The information related to the John P Kenney, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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