William Burris Kenna III, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4272 Issued in SC

Practice address

1803 Woodruff Rd
Greenville, SC 29607-5936

Phone

(864) 297-5268

Fax

(864) 297-6716

NPI assigned

Apr 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Dental Health Group LLC

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1811721061
  NPD (past)
• Flat Rock Family Dentistry, P.a.

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1114101557
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1457575847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CARILION LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296177911",
            "telephone_number": "864-517-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075936",
            "telephone_number": "864-297-5268",
            "fax_number": "864-297-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNA",
        "first_name": "WILLIAM",
        "middle_name": "BURRIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Kendall Jr.
• Thomas William Kendall Sr., M.D.
• William C Kendrick Jr., M.D.
• Lindsay Kendris
• Courtney Amanda Kenna, MS LAPC
• Alixandra Kennedy
• Bonnie Sue Kennedy, MD
• Brandy Kay Kennedy, ND
• Ellen Kennedy
• John Alexander Kennedy Jr., D.M.D.

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.