Kennedy Wayne Germany Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11387 Issued in TN

Practice address

2292 Dalton Dr Ste F
Clarksville, TN 37043-8961

Phone

(931) 503-1111

NPI assigned

May 22, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1023675212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2292 DALTON DR STE F",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438961",
            "telephone_number": "931-503-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 DALTON DR STE F",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438961",
            "telephone_number": "931-503-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMANY",
        "first_name": "KENNEDY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George L Eckles MD
• Karen H George, PHARM D
• Mary Margaret George, D.D.S.
• Kirollos Gerges, DDS
• Ashton German, M.ED., BCBA, LBA
• Brandi Ghergia, APRN, PMHNP
• Mary Anne Giampetruzzi, PHARMD
• Reginald Barrett Gibb, PHARMD
• Jordan Gibbs-Francis
• Gibson Physical Therapy

• General Practice Dentistry in Clarksville, TN
• Providers in Clarksville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.