Kennedy, Matthew

Kennedy, Matthew is an sole proprietor health care provider with primary practice located at 4252 N Verrado Way Suite 105, Buckeye AZ 85396-7586. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kennedy, Matthew can be contacted via phone (602) 214-5479.

Contact Information

Primary practice address
4252 N Verrado Way Suite 105 Buckeye AZ 85396-7586
Fax: (623) 594-8120
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D5910 Arizona

Profile Details

NPI number 1821155896
LBN Legal business name Kennedy, Matthew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Dec 6th, 2011 - about 13 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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