Kennedy, Gregory Wayne

Kennedy, Gregory Wayne is an individual health care provider with primary practice located at 164 Commack Rd Suite 4, Commack NY 11725-3430. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kennedy, Gregory Wayne can be contacted via phone (631) 499-3377.

Contact Information

Primary practice address
164 Commack Rd Suite 4 Commack NY 11725-3430
Phone: (631) 499-3377
Fax: (631) 858-0586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 039664 New York

Profile Details

NPI number 1902017973
LBN Legal business name Kennedy, Gregory Wayne
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

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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