Gregory W Kennedy DDS PLLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

GREGORY W KENNEDY DDS PLLC

Doing business as

Commack Dental Associates

Practice address

164 Commack Rd Ste 4
Commack, NY 11725-3430

Phone

(631) 499-3377

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Gregory Kennedy, DDS

Title

Owner

Phone

(631) 858-3377

Specialties & licenses 1

Addresses

Other names 1

• Commack Dental Associates Doing business as

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1528532009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 COMMACK RD STE 4",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253430",
            "telephone_number": "631-499-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 COMMACK RD STE 4",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253430",
            "telephone_number": "631-499-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY W KENNEDY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-858-3377",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commack Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Commack Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James A Green, DDS
• Steven R Green, D.D.S.
• Jodi Michelle Greenberg
• Kimberly Greenberg
• Karen E Greene, NP
• Glenda Gregory, LCSW
• Scott Michael Gressin, P.A.
• Margaret M Griesing, PTA
• Inok Gross
• Growing Minds Psychological Services PLLC

• Customized Equipment (DME) in Commack, NY
• Providers in Commack, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.