OrganizationActive
Jennifer a Kennedy DDS LLC
NPI 1992136345 · Dental Clinic/Center · Mattoon, IL
Jennifer a Kennedy DDS LLC is a Dental Clinic/Center organization in Mattoon, IL (NPI 1992136345).
Provider details
- NPI number
- 1992136345
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Kennedy, Dentist(217) 235-0556
- License
- 019024517 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES 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
601 Broadway Ave
Mattoon, IL 61938-4340
Phone: (217) 235-0556
Fax: (217) 234-7243
Street-level locationGet directions
Mailing address
601 Broadway Ave
Mattoon, IL 61938-4340
Registry dates
- Enumerated
- 2013-12-11
- Last updated
- 2013-12-11
Frequently asked questions
- What is Jennifer a Kennedy DDS LLC's NPI number?
- Jennifer a Kennedy DDS LLC's National Provider Identifier (NPI) is 1992136345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jennifer a Kennedy DDS LLC?
- Jennifer a Kennedy DDS LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jennifer a Kennedy DDS LLC located?
- Jennifer a Kennedy DDS LLC's practice location on file with NPPES is 601 Broadway Ave, Mattoon, IL 61938-4340.
- What is Jennifer a Kennedy DDS LLC's phone number?
- The practice phone number listed in the NPPES registry for Jennifer a Kennedy DDS LLC is (217) 235-0556.
- Who is the authorized official for Jennifer a Kennedy DDS LLC?
- The authorized official listed on Jennifer a Kennedy DDS LLC's NPPES record is Jennifer Kennedy, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jennifer a Kennedy DDS LLC's NPI active?
- Yes — Jennifer a Kennedy DDS LLC's NPI (1992136345) is active in the NPPES registry as of the last update on 2013-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.