Amy Kenny DMD, LLC
Organization Active NPI General Practice Dentistry · Bay St Louis, MS
NPI 1306564034 · NPPES record last updated Oct 5, 2022
Key facts
- NPI
- 1306564034
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- AMY KENNY DMD, LLC
- Practice address
- 1166 US-90
Bay St Louis, MS 39520 - Phone
- (228) 688-0624
- Fax
- (228) 688-0625
- NPI assigned
- Aug 18, 2022
- Organization subpart
- No
Authorized official
- Name
- Amy Kenny, DMD
- Title
- Owner
- Phone
- (251) 599-3202
Practitioners 1
National Provider Directory
Locations
1166 Highway 90
Bay St Louis, MS 39520
Phone (228) 688-0624
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1166 US-90
Bay St Louis, MS 39520
Mailing address
1166 US-90
Bay St Louis, MS 39520
Phone (228) 688-0624
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00153870 | Medicaid | MS |
Other names
- Kenny Dental
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ConnectURL | Direct |
Other providers in Bay St Louis, MS
- Accelerated Physical Therapy and Occupational Health, Inc
- Sahiba Ahluwalia
- Brian Thomas Anthony
- Bay Pharmacy, Inc
- Bay St. Louis Pediatrics
- Virginia Dale Belham
- Regan Bellman
All providers in Bay St Louis, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.