| Dr Kennedy Moore, DMD | |
|
100 High St Ste 200, Westwood, MA 02090-1196 | |
| (781) 733-9378 | |
| Not Available |
| Full Name | Dr Kennedy Moore |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 100 High St Ste 200, Westwood, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821838004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN10000242 (Massachusetts) | Primary |
| Entity Name | Boston Health Care for the Homeless Program, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033157771 PECOS PAC ID: 2668475419 Enrollment ID: O20110527000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kennedy Moore, DMD 89 Wachusett St Apt 3, Jamaica Plain, MA 02130-4462 Ph: (585) 412-3025 | Dr Kennedy Moore, DMD 100 High St Ste 200, Westwood, MA 02090-1196 Ph: (781) 733-9378 |
David Robert Kissell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 541 High St, Westwood, MA 02090 Phone: 781-320-0300 Fax: 781-320-8637 |
Michael G Curtin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 541 High St, Suite 3, Westwood, MA 02090 Phone: 781-326-2133 Fax: 781-320-8775 |
Dr. Donald J Mclellan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 551 High St, Westwood, MA 02090 Phone: 781-326-9125 Fax: 781-326-5475 |
Dr. Paul Daniel Dicamillo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 775 High St, Westwood, MA 02090 Phone: 781-329-0700 |
Abigail Marshall Braun, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 High St Lowr Level, Westwood, MA 02090 Phone: 212-686-7500 |
Dr. Shauna L Basil, DMD Dentist Medicare: Medicare Enrolled Practice Location: 100 High St, Lower Level Suite, Westwood, MA 02090 Phone: 561-573-5732 |
Dr. Joseph O. Daley, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 327 Washington St, Westwood, MA 02090 Phone: 781-326-4578 |