| Leighton M. Kennedy, Dmd, Pllc | |
|
134 Professional Park Dr Ste 100 Mooresville NC 28117-5600 | |
| (704) 799-0377 | |
| Not Available |
| Full Name | Leighton M. Kennedy, Dmd, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 134 Professional Park Dr Ste 100, Mooresville, North Carolina |
| Authorized Official Name and Position | Leighton M Kennedy (OWNER) |
| Authorized Official Contact | 3366016731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leighton M. Kennedy, Dmd, Pllc 19920 Scanmar Ln Cornelius NC 28031-6305 Ph: (336) 601-6731 | Leighton M. Kennedy, Dmd, Pllc 134 Professional Park Dr Ste 100 Mooresville NC 28117-5600 Ph: (704) 799-0377 |
| NPI Number | 1497415491 |
|---|---|
| Provider Enumeration Date | 12/19/2021 |
| Last Update Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497415491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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