Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer a Kennedy DDS LLC

Organization Dental Clinic/Center · NPI 1992136345

Jennifer a Kennedy DDS LLC is a Dental Clinic/Center in Mattoon, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

601 Broadway Ave
Mattoon, IL 61938-4340
Phone: (217) 235-0556
Fax: (217) 234-7243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 019024517 (IL)

Record details

NPI number1992136345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Kennedy — Dentist · (217) 235-0556
NPI enumeratedDecember 11, 2013
Last updated in NPPESDecember 11, 2013
Mailing address601 Broadway Ave, Mattoon, IL 61938-4340

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