IndividualActive
Kennedy Powell
NPI 1962385237 · General Practice Dentistry · Conyers, GA
Provider details
- NPI number
- 1962385237
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DN123884 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2239 Highway 20 Se Ste H
Conyers, GA 30013-2087
Phone: (770) 921-3565
Approximate (ZIP-level) locationGet directions
Mailing address
3509 Clear View Trl
Stockbridge, GA 30281-5670
Registry dates
- Enumerated
- 2025-07-25
- Last updated
- 2025-07-25
- Certified
- 2025-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.