OrganizationActive
Kennedy Dental LLC
NPI 1003065251 · General Practice Dentistry · Portland, OR
Provider details
- NPI number
- 1003065251
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gerald Kennedy, Owner/Dentist(503) 289-0230
- License
- D6716 (OR)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3506 N Lombard St
Portland, OR 97217-5902
Phone: (503) 289-0230
Fax: (503) 286-5055
Street-level locationGet directions
Mailing address
3506 N Lombard St
Portland, OR 97217-5902
Registry dates
- Enumerated
- 2008-09-11
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.