OrganizationActive
Kennedy Dental LLC
NPI 1003065251 · General Practice Dentistry · Portland, OR
Kennedy Dental LLC is a General Practice Dentistry organization in Portland, OR (NPI 1003065251).
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)
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.