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

The Kenedy Dentist, PLLC

Organization Dental Clinic/Center · NPI 1417764937

The Kenedy Dentist, PLLC is a Dental Clinic/Center in Kenedy, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

131 Business Park Blvd Ste 600
Kenedy, TX 78119-3512
Phone: (972) 838-3772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1417764937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maxim Mossman — Owner · (972) 838-3772
NPI enumeratedDecember 17, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing addressPo Box 195487, Dallas, TX 75219-8608

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