Kennedy, Jason Robert
Kennedy, Jason Robert is an individual health care provider with primary practice located at 1858 Crest Rd , Maryville TN 37804-4305. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kennedy, Jason Robert can be contacted via phone (865) 977-7110.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | N/A (RESIDENT) | Tennessee |
Profile Details
| NPI number | 1518151935 |
|---|---|
| LBN Legal business name | Kennedy, Jason Robert |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Jun 4th, 2008 - about 16 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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