Kennedy Dele, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14407 Issued in MD

Practice address

161 Jennifer Rd Ste B
Annapolis, MD 21401-3367

Phone

(410) 571-5014

Fax

(410) 571-5409

NPI assigned

Dec 15, 2008

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

Locations

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.

• Kennedy R Dele, DMD PC

  • General Practice Dentistry
  • Annapolis, MD
  • NPI 1073341103
  NPD Authorized official

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1659516920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 JENNIFER RD STE B",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013367",
            "telephone_number": "410-571-5014",
            "fax_number": "410-571-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 JENNIFER RD STE B",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013367",
            "telephone_number": "410-571-5014",
            "fax_number": "410-571-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELE",
        "first_name": "KENNEDY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette V. Dehn, LCPC
• Jerilyn Deitch, MA/CCC-SLP
• Eileen Delaney, CRNP
• Ainsley Blachley Delbridge, PT, DPT
• Mikaela Yow Delbridge
• John G. Deleonibus, D.P.M.
• Karen Dell, COTA
• Gary J Della'Zanna, DO
• Ruben Delpilar, M.D.
• Michelle Arlene Demattia, PA-C

• General Practice Dentistry in Annapolis, MD
• Providers in Annapolis, MD by specialty
• General Practice Dentistry in Maryland

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