Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN BRENT KENNEDY, DMD
ActiveDR. JORDAN BRENT KENNEDY, DMD is a General Dentistry healthcare provider located in WILDWOOD, Florida. NPI 1083788715 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WILDWOOD, FL
Registration Details
- NPI Number
- 1083788715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2006 (19.742759010172 yrs)
- Last Updated
- Mar 24, 2017
- License
-
DN17715 (FL)
Practice Information
- Address
-
4675 E SR 44#104WILDWOOD, FL, 347857461Browse FL providers · Browse ZIP 34785
- Phone
- 3524183041
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WILDWOOD, FL
| Name | Credential | NPI |
|---|---|---|
| AMMAR MOUSA | DDS | 1962413781 |
| DR. SIVAKUMAR VENKATACHALAM | DMD | 1285202796 |
| HSIN-YI LIU | — | 1720651458 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.