Kennedy, Jason Robert

Kennedy, Jason Robert is an individual health care provider with primary practice located at 1858 Crest Rd , Maryville TN 37804-4305. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kennedy, Jason Robert can be contacted via phone (865) 977-7110.

Contact Information

Primary practice address
1858 Crest Rd Maryville TN 37804-4305
Phone: (865) 977-7110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X N/A (RESIDENT) Tennessee

Profile Details

NPI number 1518151935
LBN Legal business name Kennedy, Jason Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Jun 4th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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