Kennedy, Thomas J

Kennedy, Thomas J is an individual health care provider with primary practice located at 7057 W 130 St , Parma Heights OH 44130. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kennedy, Thomas J can be contacted via phone (440) 888-9755.

Contact Information

Primary practice address
7057 W 130 St Parma Heights OH 44130
Phone: (440) 888-9755
Fax: (440) 888-8763
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30020262 Ohio

Profile Details

NPI number 1730281635
LBN Legal business name Kennedy, Thomas J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730281635 NPPES
Ohio MEDICAID 0170514

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