Kennedy, Iman Tyerra

Kennedy, Iman Tyerra is an individual health care provider with primary practice located at 720 Washington St , Attleboro MA 02703-6948. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Kennedy, Iman Tyerra can be contacted via phone (704) 355-2165.

Contact Information

Primary practice address
720 Washington St Attleboro MA 02703-6948
Phone: (704) 355-2165
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 57000026 North Carolina
Dental Providers / Dentist 122300000X DN1858174 Massachusetts

Profile Details

NPI number 1154783272
LBN Legal business name Kennedy, Iman Tyerra
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2016
Last updated Mar 26th, 2019 - about 5 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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