Jason Robert Kennedy in Maryville - Oral And Maxillofacial Surgery

Jason Robert Kennedy - NPI 1518151935

Jason Robert Kennedy is a Oral And Maxillofacial Surgery in Maryville, Tennessee. Jason Robert Kennedy practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jason Robert Kennedy is 1518151935. The last update date is 2008-06-04.

Jason Robert Kennedy's current location address is 1858 Crest Rd, Maryville, Tennessee. You can contact this provider via phone number 8659777110. The mailing address for Jason Robert Kennedy is 1858 Crest Rd, Maryville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason Robert Kennedy
Address 1858 Crest Rd, Maryville, Tennessee
Phone Number 8659777110
Fax Number
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1518151935
Provider Enumeration Date 2007-08-29
Last Updated Date 2008-06-04

Provider Mailing Address Detail

Address 1858 Crest Rd
City Maryville
State Tennessee (TN)
Post Code 378044305
Phone Number 8659777110
Fax Number

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No N/A (RESIDEN
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Jason Robert Kennedy

What is the unique identifier code issued to Jason Robert Kennedy by the Centers for Medicare & Medicaid Services (CMS)?

The Jason Robert Kennedy has been assigned the NPI (National Provider Identifier) 1518151935. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Jason Robert Kennedy is physically located?

The Jason Robert Kennedy is physically situated at the following address: 1858 Crest Rd, Maryville, TN, 378044305.

What is Jason Robert Kennedy's area of expertise and its corresponding taxonomy classification?

The Jason Robert Kennedy's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1518151935 to Jason Robert Kennedy?

The Centers for Medicare & Medicaid Services originally issued the 1518151935 to Jason Robert Kennedy on 2007-08-29.

As of what date was the information pertaining to Jason Robert Kennedy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jason Robert Kennedy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-04.

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