Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENEDY FOMENKO, D.M.D
ActiveKENEDY FOMENKO, D.M.D is a General Dentistry healthcare provider located in MANCELONA, Michigan. NPI 1528801081 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MANCELONA, MI
Registration Details
- NPI Number
- 1528801081
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 13, 2024 (2.1836243036302 yrs)
- Last Updated
- Jun 13, 2024
- License
-
2901602262 (MI)
Practice Information
- Address
-
205 GROVE STMANCELONA, MI, 496598018Browse MI providers · Browse ZIP 49659
- Phone
- 8668786553
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MANCELONA, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN LAMAR THUMM | D.D.S. | 1194877050 |
| AMANDA MARIE DESJARDINS | DDS | 1336309889 |
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.