Gaddy, Kenaysha Eshonji

Gaddy, Kenaysha Eshonji is an individual health care provider with primary practice located at 5638 Nc Highway 42 W Ste 109 , Garner NC 27529-7998. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Gaddy, Kenaysha Eshonji can be contacted via phone (919) 772-1463.

Contact Information

Primary practice address
5638 Nc Highway 42 W Ste 109 Garner NC 27529-7998
Phone: (919) 772-1463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7850 North Carolina
Dental Providers / Pediatric Dentistry 1223P0221X 7850 North Carolina

Profile Details

NPI number 1922116565
LBN Legal business name Gaddy, Kenaysha Eshonji
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated May 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922116565 NPPES
North Carolina MEDICAID 89-045YU
North Carolina Other 9026U

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