Joseph R. Kenneally, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2876 Issued in ME

Legal business name

JOSEPH R. KENNEALLY, DMD, PA

Practice address

6 Wellspring Rd
Biddeford, ME 04005-9415

Phone

(207) 283-1752

Fax

(207) 283-1415

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Raymond Kenneally, D.M.D.

Title

President

Phone

(207) 283-1752

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1962697318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLSPRING RD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059415",
            "telephone_number": "207-283-1752",
            "fax_number": "207-283-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WELLSPRING RD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059415",
            "telephone_number": "207-283-1752",
            "fax_number": "207-283-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH R. KENNEALLY, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "KENNEALLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-283-1752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison M Johns
• Brett E. Johnson, MD
• David A.L. Johnson, M.D.
• Nathaniel Johnson, MD
• Valerie Jones, LMSWCC
• Patricia C Joyce, LCSW
• Andrew Benjamin Joyner
• Lynn Jurczak, RDH
• Brigitte Kablitz, LMSW-CONDITIONAL
• Peter G Kachavos, MD

• General Practice Dentistry in Biddeford, ME
• Providers in Biddeford, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.