IndividualActive
Matthew Kennedy, D.D.S., M.D.
NPI 1396000774 · Oral and Maxillofacial Surgery (Dentist) · Alexandria, LA
Provider details
- NPI number
- 1396000774
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S., M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 7723 (LA)
Specialties & taxonomies
Dental Providers
Practice location
1403 Peterman Dr
Alexandria, LA 71301-3433
Phone: (318) 443-7208
Fax: (318) 443-0046
Approximate (ZIP-level) locationGet directions
Mailing address
1403 Peterman Dr
Alexandria, LA 71301-3433
Registry dates
- Enumerated
- 2012-07-11
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.