IndividualActive
Alexis Kennedy, DMD
NPI 1679343677 · Prosthodontics · Avondale, AZ
Provider details
- NPI number
- 1679343677
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- D011600 (AZ)
Specialties & taxonomies
Dental Providers
Practice location
9915 W Mcdowell Rd Ste 106
Avondale, AZ 85392-4897
Phone: (623) 907-4562
Approximate (ZIP-level) locationGet directions
Mailing address
9915 W Mcdowell Rd Ste 106
Avondale, AZ 85392-4897
Additional practice locations (1)
- 10555 N Tatum Blvd Ste A104Paradise Valley, AZ 85253-1096Phone: (480) 806-1223
Registry dates
- Enumerated
- 2024-01-02
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.