IndividualActive
David Kennedy, D.M.D. M.S.
NPI 1760891022 · Orthodontics and Dentofacial Orthopedics Dentistry · Lake Geneva, WI
Provider details
- NPI number
- 1760891022
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.M.D. M.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 6951-15 (WI)
Specialties & taxonomies
Dental Providers
Practice location
255 Havenwood Dr
Lake Geneva, WI 53147-1988
Phone: (262) 248-0101
Approximate (ZIP-level) locationGet directions
Mailing address
255 Havenwood Dr
Lake Geneva, WI 53147-1988
Registry dates
- Enumerated
- 2014-08-11
- Last updated
- 2014-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.