| Kennedy Dental Office | |
|
410 4th Ave Montgomery WV 25136-2105 | |
| (304) 442-2488 | |
| (304) 442-8835 |
| Full Name | Kennedy Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 4th Ave, Montgomery, West Virginia |
| Authorized Official Name and Position | Kimberly A. Dillon (ACCOUNT MANAGER) |
| Authorized Official Contact | 3047449717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Dental Office 410 4th Ave Montgomery WV 25136-2105 Ph: (304) 442-2488 | Kennedy Dental Office 410 4th Ave Montgomery WV 25136-2105 Ph: (304) 442-2488 |
| NPI Number | 1447311451 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447311451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Ignacio Z. Bernardo, Jr., D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 3rd Ave, Montgomery, WV 25136 Phone: 304-442-5136 |