| Thomas Kennedy, Dds Of Arkansas Ii, Pllc | |
|
635 Dave Ward Drive Ste 101 Conway AR 72034 | |
| (501) 238-9801 | |
| Not Available |
| Full Name | Thomas Kennedy, Dds Of Arkansas Ii, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 635 Dave Ward Drive, Conway, Arkansas |
| Authorized Official Name and Position | Haley Wooster (ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 7127338551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Kennedy, Dds Of Arkansas Ii, Pllc 635 Dave Ward Dr Ste 101 Conway AR 72034-7146 Ph: () - | Thomas Kennedy, Dds Of Arkansas Ii, Pllc 635 Dave Ward Drive Ste 101 Conway AR 72034 Ph: (501) 238-9801 |
| NPI Number | 1033657382 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 11/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033657382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3315 (Arkansas) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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