Jennifer W. Kendrick DMD, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JENNIFER W. KENDRICK DMD, LLC

Doing business as

Dental Associates of Southwest Georgia

Practice address

718 N Broad St
Cairo, GA 39828-1607

Phone

(229) 377-4204

Fax

(229) 377-7753

NPI assigned

Sep 24, 2024

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heather H Thomas

Title

Insurance/Financial Coordinator

Phone

(229) 377-4204

Specialties & licenses 1

Addresses

Other names 1

• Dental Associates of Southwest Georgia Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Kendrick, D.M.D.

  • General Practice Dentistry
  • Cairo, GA
  • NPI 1689011330
  NPD
• Alexis Lauren Willis, DMD

  • Dentist
  • Cairo, GA
  • NPI 1295564656
  NPD
• Thomas K Leggett Jr, DMD

  • General Practice Dentistry
  • Cairo, GA
  • NPI 1366463960
  NPD (past)

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1124845730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 N BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281607",
            "telephone_number": "229-377-4204",
            "fax_number": "229-377-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281607",
            "telephone_number": "229-377-4204",
            "fax_number": "229-377-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER W. KENDRICK DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "INSURANCE/FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "229-377-4204"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Associates of Southwest Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chandra A Johnson, LCSW
• Guy Johnson III, D.C.
• Kimberely Dawn Johnson, APRN, FNP-C

• General Practice Physician in Cairo, GA
• Providers in Cairo, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.