| Gregory L. Kennedy D.m.d Pc | |
|
12475 Us Highway 90 Grand Bay AL 36541-5796 | |
| (251) 865-3500 | |
| (251) 865-1101 |
| Full Name | Gregory L. Kennedy D.m.d Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12475 Us Highway 90, Grand Bay, Alabama |
| Authorized Official Name and Position | Gregory L Kennedy (DOCTOR / OWNER) |
| Authorized Official Contact | 2518653500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory L. Kennedy D.m.d Pc Po Box 628 Grand Bay AL 36541-0628 Ph: (251) 865-3500 | Gregory L. Kennedy D.m.d Pc 12475 Us Highway 90 Grand Bay AL 36541-5796 Ph: (251) 865-3500 |
| NPI Number | 1760116818 |
|---|---|
| Provider Enumeration Date | 07/14/2022 |
| Last Update Date | 07/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760116818 | NPI | - | NPPES |
| 3862 | Other | AL | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
James M. Sitz Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12475 Us Highway 90, Grand Bay, AL 36541 Phone: 251-865-3500 |