Kennedy, Jordan Brent

Kennedy, Jordan Brent is an individual health care provider with primary practice located at 4675 E Sr 44 #104, Wildwood FL 34785-7461. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kennedy, Jordan Brent can be contacted via phone (352) 418-3041.

Contact Information

Primary practice address
4675 E Sr 44 #104 Wildwood FL 34785-7461
Phone: (352) 418-3041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN17715 Florida

Profile Details

NPI number 1083788715
LBN Legal business name Kennedy, Jordan Brent
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Mar 24th, 2017 - about 9 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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