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Kennedy Powell

Dentist, General Practice in Conyers, GA. Individual provider (NPI-1).

NPI number1962385237
StatusActive
Last updated in NPPESJul 25, 2025

Details

NPI
1962385237
Entity type
Individual (NPI-1)
Name
Kennedy Powell
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2025
Certification date
Jul 24, 2025
Last updated
Jul 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN123884GAYes

Practice location

2239 Highway 20 Se Ste H
Conyers, GA 30013-2087

Phone 770-921-3565

Mailing address

3509 Clear View Trl
Stockbridge, GA 30281-5670

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Other General Practice Dentistry providers in Conyers, GA

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