Kennon Dental Associates PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4868 Issued in FL

Legal business name

KENNON DENTAL ASSOCIATES PA

Practice address

2309 St Andrews
#B
Panama City, FL 32413

Phone

(850) 769-1034

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joe Branch Kennon, D.D.S.

Title

Owner

Phone

(850) 769-1034

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jason Branch Kennon, DMD

  • General Practice Dentistry
  • Panama City, FL
  • NPI 1851343776
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518178334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 ST ANDREWS",
            "address_2": "B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32413",
            "telephone_number": "850-769-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 ST ANDREWS",
            "address_2": "#B",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "32413",
            "telephone_number": "850-769-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNON DENTAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "BRANCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-769-1034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "4868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Maurice Kendrick III
• Nicole Marie Kennedy
• Rebecca Lynn Kennedy, O.D.
• Rhiannon Melissa Kennedy, ARNP
• Samantha Nicole Kenney, MSW
• Jason Branch Kennon, DMD
• Heather Henderson Kent, M.S CCC-SLP
• Rose Kenyon, RN
• Matthew B Kern, M.D.
• Daphney Kernizan, DO

• General Practice Dentistry in Panama City, FL
• Providers in Panama City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.