Roselyn Brooks Kennedy in Fayetteville - Pediatric Dentistry
Roselyn Brooks Kennedy - NPI 1922214691
Roselyn Brooks Kennedy is a Pediatric Dentistry in Fayetteville, North Carolina. Roselyn Brooks Kennedy practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Roselyn Brooks Kennedy is 1922214691. The last update date is 2009-02-26.
Roselyn Brooks Kennedy's current location address is 1400 Walter Reed Rd, Fayetteville, North Carolina. You can contact this provider via phone number 9108649884 and fax number 9103541399. The mailing address for Roselyn Brooks Kennedy is 1400 Walter Reed Rd, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roselyn Brooks Kennedy |
|---|---|
| Address | 1400 Walter Reed Rd, Fayetteville, North Carolina |
| Phone Number | 9108649884 |
| Fax Number | 9103541399 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1922214691 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2009-02-26 |
Provider Mailing Address Detail
| Address | 1400 Walter Reed Rd |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283044411 |
| Phone Number | 9108649884 |
| Fax Number | 9103541399 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 30019228 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 102838 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Roselyn Brooks Kennedy by the Centers for Medicare & Medicaid Services?
The Roselyn Brooks Kennedy has been assigned the NPI (National Provider Identifier) 1922214691 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Roselyn Brooks Kennedy's facilities are geographically located?
The facilities of Roselyn Brooks Kennedy are physically situated at the following location: 1400 Walter Reed Rd, Fayetteville, NC, 283044411.
What is Roselyn Brooks Kennedy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Roselyn Brooks Kennedy is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did the Roselyn Brooks Kennedy receive the assignment of its 1922214691 from the Centers for Medicare & Medicaid Services?
The Roselyn Brooks Kennedy was issued its 1922214691 by the Centers for Medicare & Medicaid Services on 2007-05-16.
When was the Roselyn Brooks Kennedy's information last updated?
The Roselyn Brooks Kennedy's information was last updated on 2009-02-26.